Individual provider · Type 1 NPI

Mandy Baraka

Mental Health Counselor · Wheaton, IL

NPI number 1619555075 Active

Practice location

1616 E Roosevelt Rd Ste 8
Wheaton, IL 60187-6850

Mailing address

3320 Pomeroy Rd
Downers Grove, IL 60515-1145

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.010151 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1619555075

Mandy Baraka's National Provider Identifier is 1619555075, issued on Mar 29, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wheaton, IL. The record was last updated on Mar 29, 2021.