| Brooke Petersen Counseling Pllc | |
|
3609 N Magnolia Ave Chicago IL 60613-3820 | |
| (630) 803-1062 | |
| Not Available |
| Full Name | Brooke Petersen Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3609 N Magnolia Ave, Chicago, Illinois |
| Authorized Official Name and Position | Brooke N Petersen (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6308031062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Petersen Counseling Pllc 547 S Clark St Apt 1001 Chicago IL 60605-1547 Ph: (630) 803-1062 | Brooke Petersen Counseling Pllc 3609 N Magnolia Ave Chicago IL 60613-3820 Ph: (630) 803-1062 |
| NPI Number | 1154905651 |
|---|---|
| Provider Enumeration Date | 05/11/2021 |
| Last Update Date | 05/11/2021 |
| Certification Date | 05/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154905651 | NPI | - | NPPES |
| 180013512 | Other | IL | LCPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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