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Individual

CHARLES RAYMOND DE GUZMAN PASTERNAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., LCPC

Contact information

Practice address
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068-1471
(847) 759-9110
Mailing address
5315 N CLARK ST # 105, CHICAGO, IL 60640-2290
(847) 238-2945

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.012047
IL
101YP2500X
Professional Counselor
76026
TX

Other

Enumeration date
06/30/2016
Last updated
10/10/2024
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