Individual
HANIYYAH TAUFIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LCPC, NCC
Contact information
Practice address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(678) 464-1711
Mailing address
4957 OAKTON STREET # 255, SKOKIE, IL 60077-2903
(872) 240-4265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.012927
IL
101YM0800X
Mental Health Counselor
180.012005
IL
101YM0800X
Mental Health Counselor
APC005092
GA
101YP2500X
Professional Counselor
Primary
180.012005
IL
Other
Enumeration date
09/17/2015
Last updated
10/20/2020
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