Individual
MS. AYSHA ALI HAGENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LCPC
Contact information
Practice address
1557 SHERMAN AVE, #1, EVANSTON, IL 60201-4836
(773) 966-9363
Mailing address
4929 N SEELEY AVE, CHICAGO, IL 60625-1313
(773) 966-9363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18000697
IL
Other
Enumeration date
02/26/2009
Last updated
04/24/2012
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