Individual
ADDORIA DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
16655 THORNTON AVE, SOUTH HOLLAND, IL 60473-2843
(708) 752-3698
Mailing address
16655 THORNTON AVE, SOUTH HOLLAND, IL 60473-2843
(708) 752-3698
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000973
IL
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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