Provider Demographics
NPI:1710578802
Name:LOSARDO, STEVEN (LMFT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:LOSARDO
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1537 N ORLEANS ST APT 3E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-3013
Mailing Address - Country:US
Mailing Address - Phone:813-382-0399
Mailing Address - Fax:
Practice Address - Street 1:1537 N ORLEANS ST APT 3E
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-3013
Practice Address - Country:US
Practice Address - Phone:813-382-0399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.001443106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist