Individual provider · Type 1 NPI

Mary Josephine Perlongo, L.C.P.C.

Professional Counselor · Chicago, IL

NPI number 1407154628 Active

Practice location

5616 W Goodman St, #104
Chicago, IL 60630-4650

Call (773) 609-2884 Map

Mailing address

5616 West Goodman St, #104
Chicago, IL 60630

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180005896 (IL)

Professional Counselor: Definition to come...

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About NPI 1407154628

Mary Josephine Perlongo, L.C.P.C.'s National Provider Identifier is 1407154628, issued on Mar 11, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Dec 13, 2013.