SearchIllinoisProfessional Counselor

Coresair Mack

NPI 1336696582 · on the registry since 2016 · sole proprietor

Practice

Address
220 E Hillcrest Dr Apt 4210
Dekalb, IL 60115
Phone
(847) 421-4613
Clinicians at this address
3

Registry record

Primary taxonomy
Professional Counselor
101YP2500X
Also registered as
Mental Health Counselor
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-06

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