Individual
DANIEL SUFFOLETTA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1731 N MARCEY ST STE 510, CHICAGO, IL 60614-7955
(773) 538-3996
Mailing address
2741 N MILDRED AVE APT 2N, CHICAGO, IL 60614-8147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61421143
WA
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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