Individual
MRS. ATHANASIA SOUFLAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
244 MICHAEL MNR, GLENVIEW, IL 60025-4632
(708) 203-7454
Mailing address
244 MICHAEL MNR, GLENVIEW, IL 60025-4632
(708) 203-7454
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.011917
IL
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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