Charlisa Sukrasebya Mao
Charlisa Sukrasebya Mao is a Mental Health Counselor in Elgin, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1845 Grandstand PlElgin, IL 60123-6603
Phone: (847) 695-0484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1649029448 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 14, 2024 |
| Last updated in NPPES | May 14, 2024 |
| Certification date | May 13, 2024 |
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Mary Lyttles, MS
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Oscar Cruz Martinez, BS
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Courtney Lea Mason, MA
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