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Individual

CHLOE O COULSTOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3000 N HALSTED ST STE 803, CHICAGO, IL 60657-6185
(312) 376-1665
Mailing address
3000 N HALSTED ST STE 803, CHICAGO, IL 60657-6185
(312) 376-1665

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.020739
IL

Other

Enumeration date
06/12/2025
Last updated
06/12/2025
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