Individual
MICHAEL SOUCIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25259 S REED ST, CHANNAHON, IL 60410-6003
(815) 467-0555
Mailing address
3301 DEER ST APT 1C, WOODRIDGE, IL 60517-3246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IL
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
149025186
IL
Other
Enumeration date
12/29/2022
Last updated
05/04/2023
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