Individual
IVA BRENAE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
636 CHURCH ST STE 603, EVANSTON, IL 60201-4586
(773) 983-8444
Mailing address
6133 N KENMORE AVE APT 212, CHICAGO, IL 60660-2745
(517) 392-5321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.019228
IL
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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