Individual
EDGAR MERAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 308-6830
Mailing address
3330 W 60TH ST, CHICAGO, IL 60629-3629
(773) 558-7619
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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