Individual
POOJA RAJESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N MICHIGAN AVE STE 810, CHICAGO, IL 60601-5902
(414) 810-6820
Mailing address
200 N JEFFERSON ST APT 604, CHICAGO, IL 60661-1199
(214) 476-9690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AMFT118089
CA
106H00000X
Marriage & Family Therapist
Primary
166001568
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/28/2018
Last updated
05/20/2024
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