Individual
ALEXIS NICOLE BAKR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 CHARTRES ST, LA SALLE, IL 61301-1107
(815) 780-8765
Mailing address
2428 CHARTRES ST, LA SALLE, IL 61301-1107
(815) 780-8765
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208001287
IL
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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