| Clea Mirza James Lmft Pllc | |
|
5215 N Ravenswood Ave Ste 211 Chicago IL 60640-1670 | |
| (312) 767-7855 | |
| Not Available |
| Full Name | Clea Mirza James Lmft Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5215 N Ravenswood Ave Ste 211, Chicago, Illinois |
| Authorized Official Name and Position | Clea James (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 3127677855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clea Mirza James Lmft Pllc 5215 N Ravenswood Ave Ste 211 Chicago IL 60640-1670 Ph: (312) 767-7855 | Clea Mirza James Lmft Pllc 5215 N Ravenswood Ave Ste 211 Chicago IL 60640-1670 Ph: (312) 767-7855 |
| NPI Number | 1114588183 |
|---|---|
| Provider Enumeration Date | 06/21/2019 |
| Last Update Date | 07/01/2022 |
| Certification Date | 07/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114588183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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