Most Relevant Information
Provider Data
| NPI Number: | 1003274135 |
| Provider Name: | EBONY WARE LCPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 180.009979 |
Most Important Dates
| Enumeration Date: | 02/03/2016 |
| Last Updated: | 02/03/2016 |
Provider Practice Location
3031 N NATCHEZ AVE
CHICAGO
IL
606344955
Practice Location Phone/Fax
| Phone: | 3175907861 |
| Fax: |
Provider Mailing Location
3031 N NATCHEZ AVE
CHICAGO
IL
606344955
Provider Mailing Phone/Fax
| Phone: | 3175907861 |
| Fax: |