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Individual

CHARU SAXENA CHANDRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, NCC

Contact information

Practice address
1142 CHICAGO AVE STE 2E, OAK PARK, IL 60302-1837
(312) 479-4779
(708) 779-6131
Mailing address
6433 MEADOW LN, WILLOWBROOK, IL 60527-5414
(630) 400-8597
(630) 654-4643

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.008500
IL
101YP2500X
Professional Counselor
10662125
WI
101YP2500X
Professional Counselor
Primary
180.008500
IL

Other

Enumeration date
03/18/2013
Last updated
02/06/2024
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