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Individual

ANN BREKKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
12145 WESTERN AVE, BLUE ISLAND, IL 60406-1387
(773) 572-5389
(773) 432-6887
Mailing address
12145 WESTERN AVE, BLUE ISLAND, IL 60406-1387
(773) 572-5389
(773) 432-6887

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6014
IL
101YP2500X
Professional Counselor
Primary
180003884
IL

Other

Enumeration date
04/03/2020
Last updated
04/03/2020
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