Individual provider · Type 1 NPI
Tracy Pualani Takaki, BC-DMT, LCPC
Professional Counselor · Lombard, IL
NPI number
1386816296
Active
Practice location
1111 E Addison Ave
Lombard, IL 60148-3774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180006573 (IL) |
Professional Counselor: Definition to come...
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About NPI 1386816296
Tracy Pualani Takaki, BC-DMT, LCPC's National Provider Identifier is 1386816296, issued on Mar 31, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lombard, IL. The record was last updated on Jul 30, 2023.