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MR. MICHAEL CONNELL MA, LMFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1245768647

Individual Registrant:
MR. MICHAEL  CONNELL MA, LMFT
Gender: M
Sole Proprietor

Location and contact information for practice:
3375 COMMERCIAL AVE STE 10  NORTHBROOK, IL 60062-1908 US
Tel: 312-438-8654  Fax: --

Contact information for business:
4732 N AUSTIN AVE UNIT 405  CHICAGO, IL 60630-3796 US
Tel: 847-921-0921  Fax: --

Registration Information:
NPI: 1245768647
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
IL106001254
N106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
IL208000367

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS IL - Page 1



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