Individual
CONSTANCE B. MANSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2650 RIDGE AVE., DEPT. OF PSYCHIATRY, EVANSTON, IL 60201-1718
(847) 425-6400
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(479) 826-7108
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178012458
IL
101YP2500X
Professional Counselor
Primary
180012763
IL
Other
Enumeration date
04/03/2017
Last updated
09/26/2024
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