Individual provider · Type 1 NPI

Lidya Agustina Tandayu, MA

Professional Counselor · Elgin, IL

NPI number 1356136758 Active

Practice location

1595 Weld Rd Ste 9
Elgin, IL 60123-5896

Call (847) 707-2689 Map

Mailing address

6800 W Raven St Unit 410
Chicago, IL 60631-2529

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178019770 (IL)

Professional Counselor: Definition to come...

4 other providers at this address

Other professional counselor providers in Elgin

See all in Elgin →

About NPI 1356136758

Lidya Agustina Tandayu, MA's National Provider Identifier is 1356136758, issued on Apr 14, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Elgin, IL. The record was last updated on Apr 14, 2025.