Individual provider · Type 1 NPI

Amber Dicosola

Mental Health Counselor · Chicago, IL

NPI number 1356957484 Active

Practice location

410 S Michigan Ave Ste 928
Chicago, IL 60605-1399

Mailing address

5254 S Dorchester Ave Apt 803
Chicago, IL 60615-6003

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178013565 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1356957484

Amber Dicosola's National Provider Identifier is 1356957484, issued on Sep 23, 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 Sep 23, 2020.