Search › Illinois › 101YM0800X
India Blakely, LCPC
NPI 1710594445 · on the registry since 2020 · sole proprietor
Practice
- Address
- 17337 Wooded Path Dr Apt 3s
East Hazel Crest, IL 60429 - Phone
- (708) 805-9380
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois