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Pravit Marc Mantasoot, LPC

Counselor, Professional in Schaumburg, IL. Individual provider (NPI-1).

NPI number1164032223
StatusActive
Last updated in NPPESAug 4, 2020

Details

NPI
1164032223
Entity type
Individual (NPI-1)
Name
Mr. Pravit Marc Mantasoot
Credential
LPC
Sex
Male
Sole proprietor
No
Enumeration date
Aug 4, 2020
Certification date
Aug 4, 2020
Last updated
Aug 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional178015641ILYes
101Y00000X Counselor178015641IL
101YM0800X Counselor, Mental Health178015641IL

Practice location

1015 W Wise Rd Ste 200
Schaumburg, IL 60193-3777

Phone 224-357-0540

Mailing address

316 S Knollwood Dr
Schaumburg, IL 60193-1028

Phone 847-610-0193

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