Individual
ANNETTE MANDEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5457 S EVERETT AVE, 2-B, CHICAGO, IL 60615-5945
(773) 501-9326
Mailing address
5457 S EVERETT AVE, 2-B, CHICAGO, IL 60615-5945
(773) 501-9326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
101YP2500X
Professional Counselor
—
IL
Other
Enumeration date
05/04/2007
Last updated
09/11/2025
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