| Mosaic Counseling & Consulting, Llc | |
|
7366 N Lincoln Ave Ste 406 Lincolnwood IL 60712-1741 | |
| (773) 307-4767 | |
| (847) 673-4721 |
| Full Name | Mosaic Counseling & Consulting, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7366 N Lincoln Ave Ste 406, Lincolnwood, Illinois |
| Authorized Official Name and Position | Jose Rodrigo Nino (OWNER) |
| Authorized Official Contact | 7733074767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Counseling & Consulting, Llc 2212 Madison Pl Evanston IL 60202-1928 Ph: (773) 307-4767 | Mosaic Counseling & Consulting, Llc 7366 N Lincoln Ave Ste 406 Lincolnwood IL 60712-1741 Ph: (773) 307-4767 |
| NPI Number | 1992311542 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992311542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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