Most Relevant Information
Provider Data
NPI Number: | 1003441205 |
Provider Name: | ESSIES K NAGRA LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | 178.013361 |
Most Important Dates
Enumeration Date: | 03/08/2020 |
Last Updated: | 03/08/2020 |
Provider Practice Location
1440 N KINGSBURY ST
CHICAGO
IL
606422651
Practice Location Phone/Fax
Phone: | 8473454881 |
Fax: |
Provider Mailing Location
1440 N KINGSBURY ST
CHICAGO
IL
606422651
Provider Mailing Phone/Fax
Phone: | |
Fax: |