Madeline Olivia Sansom
Madeline Olivia Sansom is a Mental Health Counselor in Chicago, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1147 W Ohio St Ste 103Chicago, IL 60642-5874
Phone: (312) 772-9796
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence PRE-LIC |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1689413148 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 23, 2024 |
| Last updated in NPPES | May 23, 2024 |
| Certification date | April 28, 2024 |
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