| Mb Clinical Psychology & Consulting, Llc | |
|
4633 N Western Ave Ste 205 Chicago IL 60625-2087 | |
| (312) 476-9588 | |
| Not Available |
| Full Name | Mb Clinical Psychology & Consulting, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4633 N Western Ave Ste 205, Chicago, Illinois |
| Authorized Official Name and Position | Mirna Ballestas (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3124769588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mb Clinical Psychology & Consulting, Llc 5548 N Virginia Ave Chicago IL 60625-3918 Ph: (773) 610-8039 | Mb Clinical Psychology & Consulting, Llc 4633 N Western Ave Ste 205 Chicago IL 60625-2087 Ph: (312) 476-9588 |
| NPI Number | 1700499209 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 08/25/2020 |
| Certification Date | 08/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700499209 | NPI | - | NPPES |
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