| Dynamic Awareness | |
|
2316 W Melrose St Apt 1 Chicago IL 60618-6318 | |
| (312) 208-4022 | |
| Not Available |
| Full Name | Dynamic Awareness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2316 W Melrose St Apt 1, Chicago, Illinois |
| Authorized Official Name and Position | Ryan Breen (PRESIDENT) |
| Authorized Official Contact | 3122084022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Awareness 2316 W Melrose St Apt 1 Chicago IL 60618-6318 Ph: (312) 208-4022 | Dynamic Awareness 2316 W Melrose St Apt 1 Chicago IL 60618-6318 Ph: (312) 208-4022 |
| NPI Number | 1962262253 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962262253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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