| Corespace Counseling, Llc | |
|
16335 Harlem Ave Suite 401 Tinley Park IL 60477-2574 | |
| (773) 332-7832 | |
| Not Available |
| Full Name | Corespace Counseling, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 16335 Harlem Ave, Tinley Park, Illinois |
| Authorized Official Name and Position | Ryan Kerzman (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7733327832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corespace Counseling, Llc 16335 Harlem Ave Suite 401 Tinley Park IL 60477-2574 Ph: (773) 332-7832 | Corespace Counseling, Llc 16335 Harlem Ave Suite 401 Tinley Park IL 60477-2574 Ph: (773) 332-7832 |
| NPI Number | 1225425713 |
|---|---|
| Provider Enumeration Date | 04/22/2015 |
| Last Update Date | 07/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225425713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071008860 (Illinois) | Primary |
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