Organization · Type 2 NPI
Self Assembled Psychotherapy, PLLC
Mental Health Counselor · Chicago, IL
NPI number
1356064208
Active
Practice location
5206 N Lind Ave
Chicago, IL 60630-1436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1356064208
Self Assembled Psychotherapy, PLLC's National Provider Identifier is 1356064208, issued on Sep 26, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2022.