institution
Marlys A Conrad Phd Llc
Professional Counselor in Evanston, Illinois
NPI 1821467218

Marlys A Conrad Phd Llc is a Professional Counselor based in Evanston, IL and is specialized in Professional. Marlys A Conrad Phd Llc practices in Evanston, IL. The NPI Number for Marlys A Conrad Phd Llc is 1821467218 and holds a License No. 071003676 (Illinois).

The current practice location address for Marlys A Conrad Phd Llc is 918 Michigan Ave, Evanston, IL and can be reached out via phone at 847-624-7446.

Location: 918 Michigan Ave, Evanston, IL, 60202-1494
institution
Provider Profile Details
NPI Number
1821467218
Provider Name
Marlys A Conrad Phd Llc
Credential
Provider Entity Type
Organization
Address
918 Michigan Ave, Evanston, IL, 60202-1494
Phone Number
847-624-7446
Fax Number
Provider Enumeration Date
09/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
071003676 01 IL ILLINOIS LICENSE
institution
Provider Business Practice Location Address Details
Address
918 Michigan Ave
City
State
Zip
60202-1494
Phone Number
847-624-7446
Fax Number
person
Provider Business Mailing Address Details
Address
918 Michigan Ave
City
State
Zip
60202-1494
Phone Number
847-624-7446
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
071003676 (Illinois)
Definition
Definition to come...
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