MR. Joe Roberson Mardis, LCPC

NPI #1346307675 in Homewood, Illinois

Provider Information

NPI Number
1346307675
Entity Type
Individual
Name
MR. Joe Roberson Mardis, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Jan 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1725 187TH ST
ZIP Code
60430-3853
Phone
(708) 906-8816

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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