Organization · Type 2 NPI

Agave Studio for Psychotherapy and Spiritual Direction

Clinical Psychologist · Chicago, IL

NPI number 1093079212 Active

Practice location

2950 W Chicago Ave, #302
Chicago, IL 60622-4375

Call (773) 627-2112 Map

Mailing address

1333 N Artesian Ave # 2
Chicago, IL 60622-2935

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	None listed
Pastoral Counselor	101YP1600X	None listed
Clinical Psychologist Primary	103TC0700X	071.008116 (IL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1093079212

Agave Studio for Psychotherapy and Spiritual Direction's National Provider Identifier is 1093079212, issued on Jul 2, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 2, 2012.