Organization · Type 2 NPI
Your Autistic Therapist PC
Mental Health Counselor · Chicago, IL
NPI number
1033949490
Active
Practice location
5655 N Wayne Ave Apt 1S
Chicago, IL 60660-5543
Mailing address
1055 W Bryn Mawr Ave Ste F
Chicago, IL 60660-4692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1033949490
Your Autistic Therapist PC's National Provider Identifier is 1033949490, issued on Aug 1, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Aug 1, 2024.