Individual
AYDA AD ASTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3546 N BOSWORTH AVE, APT. 3, CHICAGO, IL 60657-3241
(847) 859-9862
Mailing address
3546 N BOSWORTH AVE, APT. 3, CHICAGO, IL 60657
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000637
IL
Other
Enumeration date
01/26/2018
Last updated
12/29/2022
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