Embrace Corazon Counseling Pc | |
917 W 18th St Ste 216 Chicago IL 60608-2400 | |
(708) 581-8018 | |
Not Available |
Full Name | Embrace Corazon Counseling Pc |
---|---|
Speciality | Social Worker - Clinical |
Location | 917 W 18th St Ste 216, Chicago, Illinois |
Authorized Official Name and Position | Susie Moya (FOUNDER/THERAPIST) |
Authorized Official Contact | 7085818018 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Embrace Corazon Counseling Pc 4045 W 58th St Chicago IL 60629-4432 Ph: (773) 988-1162 | Embrace Corazon Counseling Pc 917 W 18th St Ste 216 Chicago IL 60608-2400 Ph: (708) 581-8018 |
NPI Number | 1184289118 |
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Provider Enumeration Date | 05/06/2019 |
Last Update Date | 01/13/2022 |
Certification Date | 01/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184289118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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