Individual
PATRICIA JEAN HUSBAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1774 W ARTHUR AVE, CHICAGO, IL 60626-3911
(312) 909-4210
(773) 262-0458
Mailing address
1774 W ARTHUR AVE, CHICAGO, IL 60626-3911
(312) 909-4210
(773) 262-0458
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH57681198P
DHS EARLY INTERVENTION
IL
Enumeration date
11/27/2006
Last updated
07/08/2007
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