| Candor Counseling Services, Pc | |
|
2858 W Diversey Ave Chicago IL 60647-1871 | |
| (773) 599-3417 | |
| Not Available |
| Full Name | Candor Counseling Services, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2858 W Diversey Ave, Chicago, Illinois |
| Authorized Official Name and Position | Regina Newton (OWNER) |
| Authorized Official Contact | 7735993417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candor Counseling Services, Pc 2858 W Diversey Ave Chicago IL 60647-1871 Ph: (773) 599-3417 | Candor Counseling Services, Pc 2858 W Diversey Ave Chicago IL 60647-1871 Ph: (773) 599-3417 |
| NPI Number | 1851822209 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851822209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149015812 (Illinois) | Primary |
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