Individual
EVA SAN PEDRO-KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6250 W NORTH AVE, 1ST FLOOR, CHICAGO, IL 60639-3861
(773) 622-6218
(773) 622-7440
Mailing address
4343 N CLARENDON AVE, #2110, CHICAGO, IL 60613-2698
(773) 622-6218
(773) 622-7440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.004410
IL
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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