Individual provider · Type 1 NPI

Simone Soristo, M.A.

Mental Health Counselor · Chicago, IL

NPI number 1720521644 Active

Practice location

4631 N Beacon St
Chicago, IL 60640-4661

Call (773) 248-5200 Map

Mailing address

1925 N Clybourn Ave
Chicago, IL 60614-4946

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180010652 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1720521644

Simone Soristo, M.A.'s National Provider Identifier is 1720521644, issued on Nov 25, 2016. 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 25, 2016.