Individual
CHRISTOPHER POULAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1247 RICKERT DR STE 201, NAPERVILLE, IL 60540-8213
(630) 357-7979
Mailing address
1247 RICKERT DR STE 201, NAPERVILLE, IL 60540-8213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/01/2015
Last updated
04/20/2021
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