Individual
CHRISTOL ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 S 6TH AVE, MAYWOOD, IL 60153-1305
(708) 681-4357
Mailing address
117 S 6TH AVE, MAYWOOD, IL 60153-1305
(708) 681-4357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362709982
—
IL
Enumeration date
12/09/2022
Last updated
12/09/2022
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