Susan Marie Wortman, LCPC
Counselor, Professional in Chicago, IL. Individual provider (NPI-1).
NPI number1124513239
StatusActive
Last updated in NPPESJun 30, 2018
Details
- NPI
- 1124513239
- Entity type
- Individual (NPI-1)
- Name
- Susan Marie Wortman
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2018
- Last updated
- Jun 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180.010657 | IL | Yes |
Practice location
155 N Michigan Ave Ste 202Chicago, IL 60601-7940
Phone 312-278-3054
Mailing address
2603 W Cortland St # 2Chicago, IL 60647-4210
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