Individual
DR. AUTUMN LARA CABELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1421 W HURON ST APT 2F, CHICAGO, IL 60642-6128
(708) 325-8259
Mailing address
1440 W TAYLOR ST # 2654, CHICAGO, IL 60607-4623
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180013931
IL
Other
Enumeration date
11/02/2021
Last updated
10/02/2024
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