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Organization

DR. MARTIE RYAN LUKANICH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTIE RYAN LUKANICH PSY.D.,LCPC (PROFESSIONAL COUNSELOR)
(708) 829-8277
Entity
Organization

Contact information

Practice address
9601 165TH ST, SUITE 6, ORLAND PARK, IL 60467-5660
(708) 829-8277
(708) 352-2305
Mailing address
9601 165TH ST, SUITE 6, ORLAND PARK, IL 60467-5660
(708) 829-8277
(708) 352-2305

Taxonomy

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

Other

Enumeration date
04/11/2007
Last updated
08/22/2020
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