Organization
13-LUNAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARACELI CHAIDEZ CANO LCPC (OWNER)
(708) 996-7745
Entity
Organization
Contact information
Practice address
1418 N 19TH AVE, MELROSE PARK, IL 60160-3224
(708) 996-7745
Mailing address
1418 N 19TH AVE, MELROSE PARK, IL 60160-3224
(708) 996-7745
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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