Cecelia Blue

NPI #1912217845 in Ingleside, Illinois

Provider Information

NPI Number: 1912217845
Entity Type: Individual
Name: Cecelia Blue
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 13, 2010
Last Updated: Mar 25, 2011

Practice Location

Address: 500 SPRING RD
Address 2: 275
City: Ingleside
State: Illinois
ZIP Code: 60041-0275
Phone: (312) 339-2221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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