Individual
AVILENE MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
415 WASHINGTON ST STE 216S, WAUKEGAN, IL 60085-5564
(773) 988-5174
Mailing address
8765 W HIGGINS RD STE 450, CHICAGO, IL 60631-4172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/12/2023
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