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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES S MIYAMOTO, REV.; LPC

Active

CHARLES S MIYAMOTO, REV.; LPC is a Professional Counselor healthcare provider located in EVANSTON, Illinois. NPI 1508204066 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · EVANSTON, IL

Registration Details

NPI Number
1508204066
Provider Type
Individual
Gender
Male
NPI Issued
Jun 6, 2013 (13.205864006547 yrs)
Last Updated
Oct 21, 2013
License
178.008311 (IL)

Practice Information

Address
1427 CHICAGO AVE
EVANSTON, IL, 602014726
Browse IL providers · Browse ZIP 60201
Phone
8478649133
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in EVANSTON, IL

Name Credential NPI
DR. POLINA REYNGOLD PSYD 1326012816
SHABAD KAUR KHALSA LCPC, LMFT 1154365831
MS. RANDY J. WALKER LCPC 1225074289
JULIA S BROWN PH.D., LCPC 1760416812
MRS. EILEEN H GLENN L.C.P.C. 1003823519
MR. DANNIEL JAMES ANTHON MA, ATR-BC, LCPC 1083622476
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.