Individual
ITXASNE TOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2801 N SHEFFIELD AVE, CHICAGO, IL 60657-5003
(773) 281-8130
Mailing address
3020 N SHEFFIELD AVE APT 1N, CHICAGO, IL 60657-8466
(773) 397-6693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
08/07/2019
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