AJIT ANANT SAMUDRA

EVANSTON, IL
NPI1689794687
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: IL  166000472)
Additional Taxonomies106H00000X Marriage & Family Therapist
Enumeration Date2007-03-31
Last Update Date2022-05-10
Business Address
Mr. AJIT ANANT SAMUDRA MS, LMFT
820 DAVIS ST STE 455
EVANSTON, IL 60201-4447
Phone number: 224-714-2412
Mailing Address
Mr. AJIT ANANT SAMUDRA MS, LMFT
820 DAVIS ST STE 455
EVANSTON, IL 60201-4447
Phone number: 224-714-2412