Individual provider · Type 1 NPI

Elizabeth J. Muckley, LCPC, RDT-BCT

Professional Counselor · Evanston, IL

NPI number 1639575368 Active

Practice location

1702 Sherman Ave
Evanston, IL 60201-3713

Call (847) 425-8336 Map

Mailing address

1835 N Hermitage Ave, 1F
Chicago, IL 60622-1198

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.007103 (IL)

Professional Counselor: Definition to come...

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About NPI 1639575368

Elizabeth J. Muckley, LCPC, RDT-BCT's National Provider Identifier is 1639575368, issued on Nov 6, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evanston, IL. The record was last updated on Nov 6, 2014.