BRENT SHOWALTER

CHICAGO, IL
NPI1861185951
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178.017916)
Enumeration Date2023-06-02
Last Update Date2023-06-02
Business Address
BRENT SHOWALTER
4442 N BEACON ST APT 3
CHICAGO, IL 60640-6265
Phone number: 573-289-4745
Mailing Address
BRENT SHOWALTER
4442 N BEACON ST APT 3
CHICAGO, IL 60640-6265
Phone number: 573-289-4745