DR. SUSAN SIOKOS EDD, LCPC
NPI 1356101646
Counselor - Mental Health in Evanston, IL
Active since March 21, 2024
About Dr. Susan Siokos Edd, Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSAN SIOKOS EDD, LCPC (NPI 1356101646) is an individual mental health provider in Evanston, Illinois, licensed in Illinois (180.011482) and active in the NPI registry since March 2024.
NPPES Registry Identity
NPI1356101646
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. SUSAN SIOKOSCredential: EDD, LCPC
Location Address1123 MAPLE AVE APT 3NEvanston, IL 60202-4252
Mailing AddressPo Box 5129Evanston, IL 60204-5129 · (773) 704-0424
Phone(773) 704-0424
Sole ProprietorYes
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1356101646 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180.011482
1123 MAPLE AVE APT 3N, Evanston, IL 60202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356101646, enumerated as an "individual" on March 21, 2024.
The provider is located at 1123 MAPLE AVE APT 3N EVANSTON, IL 60202 and the phone number is (773) 704-0424.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
