Individual
ALEXANDRA TAVLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2933 N KEDZIE AVE, CHICAGO, IL 60618-7603
(708) 292-8798
Mailing address
2933 N KEDZIE AVE APT 1, CHICAGO, IL 60618-7603
(815) 503-1065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180015949
IL
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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