Individual provider · Type 1 NPI
Estela Melgoza, LCPC, PhD
Professional Counselor · Chicago, IL
NPI number
1669996708
Active
Practice location
966 W 21st St
Chicago, IL 60608
Other practice locations
- 135 N Greenleaf St Ste 201, Gurnee, IL 60031-5710 · (847) 360-8860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.010589 (IL) |
Professional Counselor: Definition to come...
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About NPI 1669996708
Estela Melgoza, LCPC, PhD's National Provider Identifier is 1669996708, issued on Jul 31, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on May 22, 2018.