Individual
DAVID FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2932 W JARVIS AVE, CHICAGO, IL 60645-1208
(773) 209-1961
Mailing address
2932 W JARVIS AVE, CHICAGO, IL 60645-1208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.012686
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.012686
LICENSE NUMBER
IL
Enumeration date
12/24/2021
Last updated
12/24/2021
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