Mr. Ajit Anant Samudra, MS, LMFT
Mr. Ajit Anant Samudra, MS, LMFT is a Marriage & Family Therapist in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
820 Davis St Ste 455Evanston, IL 60201-4447
Phone: (224) 714-2412
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 166000472 (IL) |
|---|---|
| Marriage & Family Therapist | Taxonomy 106H00000X (IL) |
Record details
| NPI number | 1689794687 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , LMFT |
| Sole proprietor | No |
| NPI enumerated | March 31, 2007 |
| Last updated in NPPES | May 10, 2022 |
| Certification date | May 10, 2022 |
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