Individual
MS. RYAN KELSEY BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR-P
Contact information
Practice address
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068-1471
(847) 759-9110
(847) 759-9440
Mailing address
2733 W BELDEN AVE UNIT 1104, CHICAGO, IL 60647-2464
(281) 541-6689
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.017836
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.017836
IDFPR
IL
01
—
23-013
ART THERAPY CREDENTIALS BOARD INC.
—
Enumeration date
08/28/2021
Last updated
03/20/2023
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