Most Relevant Information
Provider Data
NPI Number: | 1003260431 |
Provider Name: | MICHAEL RAGAN LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 178.010764 |
Most Important Dates
Enumeration Date: | 04/21/2016 |
Last Updated: | 04/21/2016 |
Provider Practice Location
25224 W EAMES ST
CHANNAHON
IL
604105215
Practice Location Phone/Fax
Phone: | 8154678181 |
Fax: |
Provider Mailing Location
25224 W EAMES ST
CHANNAHON
IL
604105215
Provider Mailing Phone/Fax
Phone: | |
Fax: |