| Fringe Counseling, Coaching, And Consulting | |
|
1525 Circle Ave Forest Park IL 60130-2629 | |
| (773) 266-4406 | |
| Not Available |
| Full Name | Fringe Counseling, Coaching, And Consulting |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1525 Circle Ave, Forest Park, Illinois |
| Authorized Official Name and Position | Chante Gamby (CEO) |
| Authorized Official Contact | 7732664406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fringe Counseling, Coaching, And Consulting 5954 W Fulton St 1 Chicago IL 60644-2114 Ph: (773) 266-4406 | Fringe Counseling, Coaching, And Consulting 1525 Circle Ave Forest Park IL 60130-2629 Ph: (773) 266-4406 |
| NPI Number | 1104369032 |
|---|---|
| Provider Enumeration Date | 11/26/2016 |
| Last Update Date | 11/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104369032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.018777 (Illinois) | Primary |
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