Charles Michael Ideran, D.MIN., LCPC
NPI #1265446652 in Oak Forest, Illinois
Provider Information
- NPI Number
- 1265446652
- Entity Type
- Individual
- Name
- Charles Michael Ideran, D.MIN., LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- D.MIN., LCPC
- Enumeration Date
- Jul 28, 2006
- Last Updated
- Dec 4, 2024
Practice Location
- Address
- 6006 W. 159TH ST
- Address 2
- BLDG. C
- City
- Oak Forest
- State
- Illinois
- ZIP Code
- 60452
- Phone
- (708) 535-7320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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