Individual provider · Type 1 NPI

Marvin Dandridge, LCPC

Mental Health Counselor · Chicago, IL

NPI number 1124377957 Active

Practice location

3062 E 91st St
Chicago, IL 60617-4401

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	180-003157 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1124377957

Marvin Dandridge, LCPC's National Provider Identifier is 1124377957, issued on Sep 7, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Sep 11, 2012.