| Chrysalis Counseling And Consulting, Inc | |
|
1525 E 53rd St Ste 623 Chicago IL 60615-4530 | |
| (708) 699-1600 | |
| Not Available |
| Full Name | Chrysalis Counseling And Consulting, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1525 E 53rd St Ste 623, Chicago, Illinois |
| Authorized Official Name and Position | Jason E Montgomery (PRESIDENT/CEO) |
| Authorized Official Contact | 7086991600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Counseling And Consulting, Inc 6958 S King Dr Chicago IL 60637-4614 Ph: (708) 699-1600 | Chrysalis Counseling And Consulting, Inc 1525 E 53rd St Ste 623 Chicago IL 60615-4530 Ph: (708) 699-1600 |
| NPI Number | 1437633542 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 09/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437633542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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