Individual provider · Type 1 NPI

Charles S. Miyamoto, REV.; LPC

Professional Counselor · Evanston, IL

NPI number 1508204066 Active

Practice location

1427 Chicago Ave
Evanston, IL 60201-4726

Call (847) 864-9133 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.008311 (IL)

Professional Counselor: Definition to come...

3 other providers at this address

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About NPI 1508204066

Charles S. Miyamoto, REV.; LPC's National Provider Identifier is 1508204066, issued on Jun 6, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evanston, IL. The record was last updated on Oct 21, 2013.