Individual
ALEXANDRA RAQUEL SUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5338 N PAULINA ST, CHICAGO, IL 60640-2025
(561) 504-7874
Mailing address
5338 N PAULINA ST, CHICAGO, IL 60640-2025
(561) 504-7874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.014237
IL
Other
Enumeration date
12/04/2019
Last updated
08/25/2025
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