| Chicago Addiction Counseling & Therapy Initiative Pllc | |
|
2401 W North Ave Unit 303 Chicago IL 60647-6548 | |
| (312) 488-9485 | |
| Not Available |
| Full Name | Chicago Addiction Counseling & Therapy Initiative Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2401 W North Ave Unit 303, Chicago, Illinois |
| Authorized Official Name and Position | Taylor M Johnson (FOUNDER / THERAPIST) |
| Authorized Official Contact | 3124889485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Addiction Counseling & Therapy Initiative Pllc 2401 W North Ave Unit 303 Chicago IL 60647-6548 Ph: (312) 488-9485 | Chicago Addiction Counseling & Therapy Initiative Pllc 2401 W North Ave Unit 303 Chicago IL 60647-6548 Ph: (312) 488-9485 |
| NPI Number | 1841071206 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841071206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
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