SIERRA PARHAM-GANTT

Counselor

Active Individual
NPI: 1578064036

Practice Address

13136 WESTERN AVE
Blue Island, IL 60406

Phone: (708) 974-5800

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1578064036 is the National Provider Identifier for SIERRA PARHAM-GANTT, a Counselor provider located in Blue Island, IL. This NPI was enumerated on February 21, 2018.
SIERRA PARHAM-GANTT practices at 13136 WESTERN AVE, Blue Island, IL 60406.

Quick Facts

NPI
1578064036
Type
Individual
Enumerated
Feb 21, 2018
Last Updated
Feb 21, 2018

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