Organization · Type 2 NPI

Soulreconstruct Psychotherapy

Mental Health Counselor · Chicago, IL

NPI number 1083287924 Active

Practice location

1136 S Delano Ct W Ste B201
Chicago, IL 60605-3734

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1083287924

Soulreconstruct Psychotherapy's National Provider Identifier is 1083287924, issued on Jul 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Jul 19, 2021.