Individual
MRS. ETHEL INA BARTKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
5225 OLD ORCHARD RD STE 6, SKOKIE, IL 60077-1027
(574) 850-7465
Mailing address
2554 W MORSE AVE, CHICAGO, IL 60645-4606
(574) 850-7465
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166001157
IL
106H00000X
Marriage & Family Therapist
35001267A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35001267A
STATE PROFESSIONAL LICENSING BUREAU
IN
Enumeration date
08/05/2007
Last updated
03/07/2018
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