Individual
DR. ANANCIA S STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
73 W MONROE ST STE 228, CHICAGO, IL 60603-4955
(773) 413-8054
Mailing address
6127 S UNIVERSITY AVE, CHICAGO, IL 60637-5894
(773) 800-9751
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.012358
IL
Other
Enumeration date
08/28/2018
Last updated
01/25/2020
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