Individual
CARLY MALETICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
600 DAVIS ST FL 3E, EVANSTON, IL 60201-4488
(731) 227-2278
Mailing address
1312 W BIRCHWOOD AVE APT 3, CHICAGO, IL 60626-1856
(731) 227-2278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178009780
IL
101YM0800X
Mental Health Counselor
Primary
180.011042
IL
Other
Enumeration date
06/05/2017
Last updated
06/19/2017
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