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Individual

MS. AKTA PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
4822 N BROADWAY ST FL 2, CHICAGO, IL 60640-3604
(618) 593-8576
Mailing address
9716 MELVINA AVE, OAK LAWN, IL 60453

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.007983
IL

Other

Enumeration date
02/28/2012
Last updated
02/28/2012
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