person
Nathaly Bassam Shammo
Mental Health Counselor in Evanston, Illinois
NPI 1508498304

Nathaly Bassam Shammo is a Mental Health Counselor based in Evanston, IL and is specialized in Mental Health. Nathaly Bassam Shammo practices in Evanston, IL. The NPI Number for Nathaly Bassam Shammo is 1508498304 and holds a License No. (Illinois).

The current practice location address for Nathaly Bassam Shammo is 2100 Ridge Ave, Evanston, IL and can be reached out via phone at 847-666-2977.

Location: 2100 Ridge Ave, Evanston, IL, 60201-2716
person
Provider Profile Details
NPI Number
1508498304
Provider Name
Nathaly Bassam Shammo
Credential
Provider Entity Type
Individual
Gender
Female
Address
2100 Ridge Ave, Evanston, IL, 60201-2716
Phone Number
847-666-2977
Fax Number
Provider Enumeration Date
02/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2100 Ridge Ave
City
State
Zip
60201-2716
Phone Number
847-666-2977
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Ridge Ave
City
State
Zip
60201-2716
Phone Number
847-666-2977
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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