Individual
ISAAC WILLIAM SAMUELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5300 N SHERIDAN RD APT 410, CHICAGO, IL 60640-2509
(404) 661-0945
Mailing address
5300 N SHERIDAN RD APT 410, CHICAGO, IL 60640-2509
(404) 661-0945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.015973
IL
Other
Enumeration date
07/16/2020
Last updated
03/07/2025
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