Individual
MR. AJIT ANANT SAMUDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Contact information
Practice address
820 DAVIS ST STE 455, EVANSTON, IL 60201-4447
(224) 714-2412
Mailing address
820 DAVIS ST STE 455, EVANSTON, IL 60201-4447
(224) 714-2412
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000472
IL
106H00000X
Marriage & Family Therapist
—
IL
Other
Enumeration date
03/31/2007
Last updated
05/10/2022
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