Individual provider · Type 1 NPI

Ajit Anant Samudra, MS, LMFT

Marriage & Family Therapist · Evanston, IL

NPI number 1689794687 Active

Practice location

820 Davis St Ste 455
Evanston, IL 60201-4447

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist	106H00000X	None listed
Marriage & Family Therapist Primary	106H00000X	166000472 (IL)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1689794687

Ajit Anant Samudra, MS, LMFT's National Provider Identifier is 1689794687, issued on Mar 31, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Evanston, IL. The record was last updated on May 10, 2022.