Individual provider · Type 1 NPI
Christy Thielen
Professional Counselor · Chicago, IL
NPI number
1083104897
Active
Practice location
1209 W Diversey Pkwy Unit G-2
Chicago, IL 60614-1201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 178.010029 (IL) |
| Professional Counselor Primary | 101YP2500X | 180.013938 (IL) |
Professional Counselor: Definition to come...
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About NPI 1083104897
Christy Thielen's National Provider Identifier is 1083104897, issued on May 16, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Dec 12, 2022.