| Tagua Counseling Pllc | |
|
917 W 18th St Ste 222 Chicago IL 60608-2400 | |
| (312) 841-9337 | |
| Not Available |
| Full Name | Tagua Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 917 W 18th St Ste 222, Chicago, Illinois |
| Authorized Official Name and Position | Michelle Bautista (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7734803412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tagua Counseling Pllc Po Box 12454 Chicago IL 60612-0454 Ph: (312) 841-9337 | Tagua Counseling Pllc 917 W 18th St Ste 222 Chicago IL 60608-2400 Ph: (312) 841-9337 |
| NPI Number | 1285348912 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285348912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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