Mary Anne Machado, LCPC
Counselor, Professional in Chicago, IL. Individual provider (NPI-1).
NPI number1265635320
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1265635320
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Anne Machado
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180006541 | IL | Yes |
Practice location
3322 N Ashland AveChicago, IL 60657-2109
Phone 773-525-3323 · Fax 773-525-3325
Mailing address
3322 N Ashland AveChicago, IL 60657-2109
Phone 773-525-3323 · Fax 773-525-3325
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