Create Counseling Center Pllc | |
1757 N Kimball Ave Ste 206 Chicago IL 60647-4805 | |
(773) 969-6811 | |
Not Available |
Full Name | Create Counseling Center Pllc |
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Speciality | Counselor - Professional |
Location | 1757 N Kimball Ave Ste 206, Chicago, Illinois |
Authorized Official Name and Position | Cherie L Lusky (COUNSELOR) |
Authorized Official Contact | 7739696811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Create Counseling Center Pllc 1757 N Kimball Ave Ste 206 Chicago IL 60647-4805 Ph: (773) 969-6811 | Create Counseling Center Pllc 1757 N Kimball Ave Ste 206 Chicago IL 60647-4805 Ph: (773) 969-6811 |
NPI Number | 1861766107 |
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Provider Enumeration Date | 03/05/2012 |
Last Update Date | 08/01/2023 |
Certification Date | 08/01/2023 |
Identifier | Type | State | Issuer |
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1861766107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 180.007744 (Illinois) | Primary |
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