| Indivo Counseling | |
|
6331 N Glenwood Ave Apt 2 Chicago IL 60660-1340 | |
| (773) 573-6727 | |
| Not Available |
| Full Name | Indivo Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6331 N Glenwood Ave Apt 2, Chicago, Illinois |
| Authorized Official Name and Position | Grant Barlow (FOUNDER) |
| Authorized Official Contact | 7735736727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indivo Counseling 4610 N Clark St # 1010 Chicago IL 60640-4620 Ph: () - | Indivo Counseling 6331 N Glenwood Ave Apt 2 Chicago IL 60660-1340 Ph: (773) 573-6727 |
| NPI Number | 1780267583 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 03/29/2024 |
| Certification Date | 03/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780267583 | NPI | - | NPPES |
| 1154967982 | Other | IL | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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