Individual
DEIRDRE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3322 N ASHLAND AVE, CHICAGO, IL 60657-0195
(312) 560-3568
Mailing address
3322 N ASHLAND AVE, CHICAGO, IL 60657-0195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.015193
IL
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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