Individual
CHRISTIAN ASHLEY FEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9730 S WESTERN AVE STE 500, EVERGREEN PARK, IL 60805-2780
(708) 425-7337
(708) 636-3485
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.012624
IL
101YP2500X
Professional Counselor
Primary
180-012624
IL
Other
Enumeration date
03/09/2020
Last updated
01/17/2022
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