Individual provider · Type 1 NPI
Casey Tangonan
Professional Counselor · Chicago, IL
NPI number
1952143513
Active
Practice location
1209 W Diversey Pkwy Unit G-2
Chicago, IL 60614-1201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1952143513
Casey Tangonan's National Provider Identifier is 1952143513, issued on Jun 12, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jun 12, 2024.