Individual
EDEN NOVAK DEGENOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CRC,LPC
Contact information
Practice address
2417 N 75TH AVE APT F, ELMWOOD PARK, IL 60707-2660
(708) 404-5840
Mailing address
2417 N 75TH AVE APT F, ELMWOOD PARK, IL 60707-2660
(708) 404-5840
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00277481
IL
101YP2500X
Professional Counselor
178013637
IL
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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