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Individual

DANIELLE MARIE EVANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
125 E 21ST ST APT 314, CHICAGO, IL 60616-1702
(630) 750-6684
Mailing address
125 E 21ST ST APT 314, CHICAGO, IL 60616-1702
(630) 750-6684

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180009739
IL

Other

Enumeration date
07/22/2015
Last updated
07/22/2015
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