Individual
ANAMIKA SHAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
155 N MICHIGAN AVE STE 201, CHICAGO, IL 60601-7940
(738) 131-2819
Mailing address
155 N MICHIGAN AVE STE 201, CHICAGO, IL 60601-7940
(738) 131-2819
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.017122
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.017122
PROFESSIONAL LICENSE NUMBER
IL
Enumeration date
01/25/2022
Last updated
01/25/2022
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