person
Mrs. Audra K Eisin-banazek, LCPC
Professional Counselor in Chicago, Illinois
NPI 1760013023

Audra K Eisin-banazek is a Professional Counselor based in Chicago, IL and is specialized in Professional. Audra K Eisin-banazek practices in Chicago, IL and has the professional credentials of LCPC. The NPI Number for Audra K Eisin-banazek is 1760013023 and holds a License No. 180.008801 (Illinois).

The current practice location address for Audra K Eisin-banazek is 1309 W Columbia Ave, Chicago, IL and can be reached out via phone at 773-720-2911.

Location: 1309 W Columbia Ave, Chicago, IL, 60626-4325
person
Provider Profile Details
NPI Number
1760013023
Provider Name
Audra K Eisin-banazek
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
1309 W Columbia Ave, Chicago, IL, 60626-4325
Phone Number
773-720-2911
Fax Number
Provider Enumeration Date
01/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1309 W Columbia Ave
City
State
Zip
60626-4325
Phone Number
773-720-2911
Fax Number
person
Provider Business Mailing Address Details
Address
1309 W Columbia Ave
City
State
Zip
60626-4325
Phone Number
773-720-2911
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.008801 (Illinois)
Definition
Definition to come...
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