Individual
MS. MICHELLE ALANE MASBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, ATR-BC, CDVP
Contact information
Practice address
744 HINMAN AVE APT 2, EVANSTON, IL 60202-4446
(847) 745-3036
(847) 745-3096
Mailing address
744 HINMAN AVE APT 2, EVANSTON, IL 60202-4446
(847) 745-3036
(847) 745-3096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
IL
171R00000X
Interpreter
Primary
—
IL
221700000X
Art Therapist
05-003
IL
Other
Enumeration date
12/13/2006
Last updated
09/11/2025
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