Individual
EMMA EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6618 S LANGLEY AVE, CHICAGO, IL 60637-4135
(773) 419-2150
Mailing address
6618 S LANGLEY AVE, CHICAGO, IL 60637-4135
(773) 419-2150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149.026469
IL
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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