INDIA BLAKELY

EAST HAZEL CREST, IL
NPI1710594445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180007413)
Enumeration Date2020-09-27
Last Update Date2020-09-27
Business Address
INDIA BLAKELY LCPC
17337 WOODED PATH DR APT 3S
EAST HAZEL CREST, IL 60429-2619
Phone number: 708-805-9380
Mailing Address
INDIA BLAKELY LCPC
18300 S. HALSTED SUITE B MAILBOX 107
GLENWOOD, IL 60425
Phone number: 312-736-2060