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Individual

ANNA LYDKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
(847) 441-7968
Mailing address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
(847) 441-7968

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180009550
IL
101YP2500X
Professional Counselor
Primary
180009550
IL

Other

Enumeration date
02/24/2015
Last updated
05/13/2024
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