Individual
MS. FATEME TARGOL HASANKHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4611 N RAVENSWOOD AVE STE 205, CHICAGO, IL 60640-7577
(773) 366-4901
Mailing address
4611 N RAVENSWOOD AVE STE 205, CHICAGO, IL 60640-7577
(773) 366-4901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
208.000567
IL
Other
Enumeration date
12/12/2012
Last updated
12/17/2023
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