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Organization
LINDA S LEVI LCPC LLC
Active
Organization
LINDA S LEVI LCPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA S LEVI MA, LCPC (PRESIDENT, MANAGING MEMBER)
(847) 824-9590
Entity
Organization
Contact information
Practice address
1580 N NORTHWEST HWY, SUITE 117, PARK RIDGE, IL 60068-1444
(847) 824-9590
Mailing address
1580 NO. NORTHWEST HWY., SUITE 117, PARK RIDGE, IL 60068-1444
(847) 824-9590
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180004676
IL
101YM0800X
Mental Health Counselor
Primary
180005206
IL
103TC1900X
Counseling Psychologist
071007602
IL
1041C0700X
Clinical Social Worker
149005548
IL
106H00000X
Marriage & Family Therapist
166000721
IL
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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