| Inner Child Counseling Pllc | |
|
1100 Lake St Ste 255a Oak Park IL 60301-1015 | |
| (773) 206-8591 | |
| Not Available |
| Full Name | Inner Child Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1100 Lake St Ste 255a, Oak Park, Illinois |
| Authorized Official Name and Position | Susann E Puican (FOUNDING MEMBER/ MANAGER) |
| Authorized Official Contact | 7732068591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Child Counseling Pllc 1100 Lake St Ste 255a Oak Park IL 60301-1015 Ph: () - | Inner Child Counseling Pllc 1100 Lake St Ste 255a Oak Park IL 60301-1015 Ph: (773) 206-8591 |
| NPI Number | 1942055066 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942055066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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