Individual
MS. PENNY POWERS BEITLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
310 HAPP RD, 205, NORTHFIELD, IL 60093-3455
(847) 256-0200
Mailing address
310 HAPP RD, 205, NORTHFIELD, IL 60093-3455
(847) 256-0200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000490
IL
Other
Enumeration date
03/30/2011
Last updated
03/07/2013
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