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Anita Mandley Lcpc Pllc
Adult Mental Health Clinic/Center in Skokie, Illinois
NPI 1619628450

Anita Mandley Lcpc Pllc is an Adult Mental Health Clinic/Center based in Skokie, IL and is specialized in Adult Mental Health. Anita Mandley Lcpc Pllc practices in Skokie, IL. The NPI Number for Anita Mandley Lcpc Pllc is 1619628450 and holds a License No. (Illinois).

The current practice location address for Anita Mandley Lcpc Pllc is 7514 Kostner Ave, Skokie, IL and can be reached out via phone at 312-509-2245.

Location: 7514 Kostner Ave, Skokie, IL, 60076-3828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619628450
Provider Name
Anita Mandley Lcpc Pllc
Credential
Provider Entity Type
Organization
Address
7514 Kostner Ave, Skokie, IL, 60076-3828
Phone Number
312-509-2245
Fax Number
Provider Enumeration Date
01/13/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180002457 01 IL CLINICAL COUNSELORPROFESSIONAL LICENSE
institution
Provider Business Practice Location Address Details
Address
7514 Kostner Ave
City
Skokie
State
Illinois
Zip
60076-3828
Phone Number
312-509-2245
Fax Number
person
Provider Business Mailing Address Details
Address
7514 Kostner Ave
City
Skokie
State
Illinois
Zip
60076-3828
Phone Number
312-509-2245
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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