Individual
AISHA R LUSABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16000 VAN DRUNEN RD, SOUTH HOLLAND, IL 60473
(708) 265-7487
Mailing address
16000 VAN DRUNEN RD, SOUTH HOLLAND, IL 60473
(708) 265-7487
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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