Individual
ANNA SOPHIA AHLBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC CRC
Contact information
Practice address
17 N DEARBORN ST, CHICAGO, IL 60602
(773) 771-5651
Mailing address
722 S LIBERTY ST UNIT 144, MUNCIE, IN 47305-2346
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011060
IL
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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