person
Mrs. Tracy Kimie Nitta Takeda, MA,LCPC
Professional Counselor in Sugar Grove, Illinois
NPI 1225120900

Tracy Kimie Nitta Takeda is a Professional Counselor based in Naperville, IL and is specialized in Professional. Tracy Kimie Nitta Takeda practices in Sugar Grove, IL and has the professional credentials of MA,LCPC. The NPI Number for Tracy Kimie Nitta Takeda is 1225120900 and holds a License No. 180-002939 (Illinois).

The current practice location address for Tracy Kimie Nitta Takeda is 330 Division Dr Ste J, Sugar Grove, IL and can be reached out via phone at 630-884-1708 and via fax at 630-277-8362.

Location: 330 Division Dr Ste J, Sugar Grove, IL, 60540-1130
person
Provider Profile Details
NPI Number
1225120900
Provider Name
Tracy Kimie Nitta Takeda
Credential
MA,LCPC
Provider Entity Type
Individual
Gender
Female
Address
330 Division Dr Ste J, Sugar Grove, IL, 60540-1130
Phone Number
630-884-1708
Fax Number
630-277-8362
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
330 Division Dr Ste J
City
State
Zip
60554-9800
Phone Number
630-884-1708
Fax Number
630-277-8362
person
Provider Business Mailing Address Details
Address
330 Division Dr Ste J
City
State
Zip
60554-9800
Phone Number
630-884-1708
Fax Number
630-277-8362
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180-002939 (Illinois)
Definition
Definition to come...
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