Most Relevant Information
Provider Data
NPI Number: | 1003368739 |
Provider Name: | CHRISTINE ALEXANDRA ESPE MAXWELL MSED, LCPC, NCC |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: | 178009968 |
Most Important Dates
Enumeration Date: | 10/28/2016 |
Last Updated: | 11/02/2023 |
Provider Practice Location
12 HEALTH SERVICES DR
DEKALB
IL
601159637
Practice Location Phone/Fax
Phone: | 8157564875 |
Fax: | 8157562944 |
Provider Mailing Location
PO BOX 1109
DEKALB
IL
601157109
Provider Mailing Phone/Fax
Phone: | 8157564875 |
Fax: | 8157562944 |