person
Ezza Melina Ahmad Mustaffa
Professional Counselor in Chicago, Illinois
NPI 1669029542

Ezza Melina Ahmad Mustaffa is a Professional Counselor based in Chicago, IL and is specialized in Professional. Ezza Melina Ahmad Mustaffa practices in Chicago, IL. The NPI Number for Ezza Melina Ahmad Mustaffa is 1669029542 and holds a License No. 178.014078 (Illinois).

The current practice location address for Ezza Melina Ahmad Mustaffa is 2045 W North Ave Ste 2B, Chicago, IL and can be reached out via phone at 773-249-2921.

Location: 2045 W North Ave Ste 2B, Chicago, IL, 60622-5093
person
Provider Profile Details
NPI Number
1669029542
Provider Name
Ezza Melina Ahmad Mustaffa
Credential
Provider Entity Type
Individual
Gender
Female
Address
2045 W North Ave Ste 2B, Chicago, IL, 60622-5093
Phone Number
773-249-2921
Fax Number
Provider Enumeration Date
08/24/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2045 W North Ave Ste 2B
City
State
Zip
60647-5413
Phone Number
773-249-2921
Fax Number
person
Provider Business Mailing Address Details
Address
2045 W North Ave Ste 2B
City
State
Zip
60647-5413
Phone Number
773-249-2921
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
180.015151 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.014078 (Illinois)
Definition
Definition to come...
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