Individual
ANTONIO TOMAS ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, MA
Contact information
Practice address
622 DAVIS ST, EVANSTON, IL 60201-4491
(773) 294-0176
Mailing address
622 DAVIS ST, EVANSTON, IL 60201-4491
(773) 294-0176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.020026
IL
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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