Individual provider · Type 1 NPI

Bryony Agatha Page, LPC

Mental Health Counselor · Chicago, IL

NPI number 1306440094 Active

Practice location

3448 W Diversey Ave
Chicago, IL 60647-9740

Call (773) 245-3725 Map

Mailing address

6131 N Winthrop Ave Apt 203
Chicago, IL 60660-2607

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.015407 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1306440094

Bryony Agatha Page, LPC's National Provider Identifier is 1306440094, issued on Nov 24, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Nov 24, 2020.