Stepanie Evans Lpcl Inc | |
3139 N Lincoln Ave Ste 203 Chicago IL 60657-3122 | |
(773) 717-2590 | |
Not Available |
Full Name | Stepanie Evans Lpcl Inc |
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Speciality | Counselor |
Location | 3139 N Lincoln Ave Ste 203, Chicago, Illinois |
Authorized Official Name and Position | Stephanie Ann Evans (THERAPIST) |
Authorized Official Contact | 7739197079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stepanie Evans Lpcl Inc 4125 W Ainslie St Chicago IL 60630-2814 Ph: (773) 919-7079 | Stepanie Evans Lpcl Inc 3139 N Lincoln Ave Ste 203 Chicago IL 60657-3122 Ph: (773) 717-2590 |
NPI Number | 1154860567 |
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Provider Enumeration Date | 02/17/2017 |
Last Update Date | 02/17/2017 |
Identifier | Type | State | Issuer |
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1154860567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | (* (Not Available)) | Primary |
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