Individual provider · Type 1 NPI
Malik Aqueel Raheem, EDD
Professional Counselor · Chicago, IL
NPI number
1104494715
Active
Practice location
3540 S State St Apt 302
Chicago, IL 60609-1948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.017040 (IL) |
Professional Counselor: Definition to come...
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About NPI 1104494715
Malik Aqueel Raheem, EDD's National Provider Identifier is 1104494715, issued on Jun 11, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jun 11, 2021.