| Isa Creative Counseling | |
|
7518 Madison St Forest Park IL 60130-3500 | |
| (773) 985-1303 | |
| Not Available |
| Full Name | Isa Creative Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7518 Madison St, Forest Park, Illinois |
| Authorized Official Name and Position | Isabel M Mulcahy (OWNER) |
| Authorized Official Contact | 7733291499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isa Creative Counseling 2032 N Oak Park Ave Chicago IL 60707-3344 Ph: (773) 985-1303 | Isa Creative Counseling 7518 Madison St Forest Park IL 60130-3500 Ph: (773) 985-1303 |
| NPI Number | 1912593377 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 01/02/2021 |
| Certification Date | 01/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912593377 | NPI | - | NPPES |
| 180.009014 | Other | IL | LCPC LICENSE |
| 180.009014 | Other | IL | LCPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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