India Blakely, LCPC
India Blakely, LCPC is a Mental Health Counselor in East Hazel Crest, Illinois. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Illinois.
- Years since qualifying
- 4
- Licensed in
- IL
- In the registry since
- 2020
What do these letters mean?
- LCPC — Licensed Clinical Professional Counselor
- A licensed clinical counsellor.
Practice location Address checks out
17337 Wooded Path Dr Apt 3SEast Hazel Crest, IL 60429-2619
Phone: (708) 805-9380
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 180007413 (IL) |
|---|
Record details
| NPI number | 1710594445 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCPC |
| Sole proprietor | Yes |
| NPI enumerated | September 27, 2020 |
| Last updated in NPPES | September 27, 2020 |
| Certification date | September 27, 2020 |
| Mailing address | 18300 S. Halsted, Suite B Mailbox 107, Glenwood, IL 60425 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in East Hazel Crest
-
Elizabeth Jendra
1909 Cheker Sq, East Hazel Crest, IL 60429-1442 · (708) 331-0500