Organization · Type 2 NPI
Lincoln Square Mindful Therapy
Professional Counselor · Chicago, IL
NPI number
1174903736
Active
Practice location
4732 N Lincoln Ave
Chicago, IL 60625-8561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180006375 (IL) |
Professional Counselor: Definition to come...
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About NPI 1174903736
Lincoln Square Mindful Therapy's National Provider Identifier is 1174903736, issued on Jun 8, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jun 8, 2015.