| Michelle Ferris, Lcsw, Pllc | |
|
602 Michigan Ave Apt 1 Evanston IL 60202-4661 | |
| (847) 859-9537 | |
| Not Available |
| Full Name | Michelle Ferris, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 602 Michigan Ave Apt 1, Evanston, Illinois |
| Authorized Official Name and Position | Michelle Ferris (OWNER) |
| Authorized Official Contact | 8478599537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Ferris, Lcsw, Pllc 602 Michigan Ave Apt 1 Evanston IL 60202-4661 Ph: (847) 859-9537 | Michelle Ferris, Lcsw, Pllc 602 Michigan Ave Apt 1 Evanston IL 60202-4661 Ph: (847) 859-9537 |
| NPI Number | 1538931928 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538931928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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