| City Haven Couneling | |
|
1735 N Ashland Ave Suite 201 Chicago IL 60622-1435 | |
| (312) 489-7490 | |
| (773) 303-8837 |
| Full Name | City Haven Couneling |
|---|---|
| Speciality | Psychologist |
| Location | 1735 N Ashland Ave, Chicago, Illinois |
| Authorized Official Name and Position | Katherine Mcnair Harding (OWNER/PRACTIONER) |
| Authorized Official Contact | 3124897490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Haven Couneling 1735 N Ashland Ave Suite 201 Chicago IL 60622-1435 Ph: (312) 489-7490 | City Haven Couneling 1735 N Ashland Ave Suite 201 Chicago IL 60622-1435 Ph: (312) 489-7490 |
| NPI Number | 1194270108 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 08/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194270108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071008183 (Illinois) | Primary |
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Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
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