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NPI Code Detail

MEDICARE: HEBA IBRAHIM-JOUDEH PSYD., LCPC

MEDICARE: HEBA IBRAHIM-JOUDEH PSYD., LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor178.010760IL
2101YP2500XProfessional Counselor
3101YP2500XProfessional Counselor180.009764IL

General Provider Information

NPI Number : 1497157275
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEBA IBRAHIM-JOUDEH PSYD., LCPC
Provider Business Mailing Address
First Line : 1717 N NAPER BLVD STE 200
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-8838
Country : US
Telephone Number : 708-480-2048
Fax Number :
Provider Business Practice Location Address
First Line : 1717 N NAPER BLVD STE 200
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-8838
Country : US
Telephone Number : 708-480-2048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2014
Last Update Date : 01/18/2024

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