| Common Threads Counseling Center Llc | |
|
109 Narragansett Ct Unit 12 Morton Grove IL 60053-2883 | |
| (773) 217-9007 | |
| Not Available |
| Full Name | Common Threads Counseling Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 109 Narragansett Ct, Morton Grove, Illinois |
| Authorized Official Name and Position | Stephanie L Zimmermann (OWNER) |
| Authorized Official Contact | 7732179007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Threads Counseling Center Llc 109 Narragansett Ct Unit 12 Morton Grove IL 60053-2883 Ph: (773) 217-9007 | Common Threads Counseling Center Llc 109 Narragansett Ct Unit 12 Morton Grove IL 60053-2883 Ph: (773) 217-9007 |
| NPI Number | 1043509482 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 04/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043509482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149014389 (Illinois) | Primary |
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