Organization · Type 2 NPI
Fandom Behavioral Health Clinic PLLC
Professional Counselor · Chicago, IL
NPI number
1942913280
Active
Practice location
564 W Randolph St Unit 820
Chicago, IL 60661-2218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1942913280
Fandom Behavioral Health Clinic PLLC's National Provider Identifier is 1942913280, issued on Jan 2, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Mar 3, 2023.