Individual provider · Type 1 NPI

Eva San Pedro-Koontz, LPC

Professional Counselor · Chicago, IL

NPI number 1982045175 Active

Practice location

6250 W North Ave, 1st Floor
Chicago, IL 60639-3861

Fax (773) 622-7440

Mailing address

4343 N Clarendon Ave, #2110
Chicago, IL 60613-2698

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.004410 (IL)

Professional Counselor: Definition to come...

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About NPI 1982045175

Eva San Pedro-Koontz, LPC's National Provider Identifier is 1982045175, issued on Jul 16, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jul 16, 2013.