Individual
MS. MICHELLE DUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC, CADC
Contact information
Practice address
1041 N WESTERN AVE FL 1, CHICAGO, IL 60622-3571
(312) 566-8417
Mailing address
1041 N WESTERN AVE FL 1, CHICAGO, IL 60622-3571
(312) 566-8417
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180012359
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
33720
IL
101YP2500X
Professional Counselor
178011972
IL
Other
Enumeration date
01/04/2018
Last updated
03/31/2020
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