Individual
MR. MICHAEL CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
3375 COMMERCIAL AVE STE 10, NORTHBROOK, IL 60062-1908
(312) 438-8654
Mailing address
4732 N AUSTIN AVE UNIT 405, CHICAGO, IL 60630-3796
(847) 921-0921
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
106001254
IL
106H00000X
Marriage & Family Therapist
208000367
IL
Other
Enumeration date
05/30/2017
Last updated
01/09/2019
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