India Blakely, LCPC
NPI #1710594445 in East Hazel Crest, Illinois
Provider Information
- NPI Number
- 1710594445
- Entity Type
- Individual
- Name
- India Blakely, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC
- Enumeration Date
- Sep 27, 2020
- Last Updated
- Sep 27, 2020
Practice Location
- Address
- 17337 WOODED PATH DR APT 3S
- City
- East Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-2619
- Phone
- (708) 805-9380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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