| Branch Counseling And Wellness Pc | |
|
1200 N Ashland Ave Suite 205 Chicago IL 60622-2259 | |
| (312) 874-8198 | |
| Not Available |
| Full Name | Branch Counseling And Wellness Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1200 N Ashland Ave, Chicago, Illinois |
| Authorized Official Name and Position | Candace M Leitheiser (DIRECTOR) |
| Authorized Official Contact | 3128748198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branch Counseling And Wellness Pc 1200 N Ashland Ave Suite 205 Chicago IL 60622-2259 Ph: () - | Branch Counseling And Wellness Pc 1200 N Ashland Ave Suite 205 Chicago IL 60622-2259 Ph: (312) 874-8198 |
| NPI Number | 1487024139 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487024139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 105803102 (Illinois) | Primary |
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