| Three Raven Counseling, Llc | |
|
5215 N Ravenswood Ave Ste 312 Chicago IL 60640-1670 | |
| (872) 239-5253 | |
| Not Available |
| Full Name | Three Raven Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5215 N Ravenswood Ave Ste 312, Chicago, Illinois |
| Authorized Official Name and Position | Lauren Louise Breit (COUNSELOR/OWNER) |
| Authorized Official Contact | 8722395253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Raven Counseling, Llc 4745 N Hermitage Ave Rear 2m Chicago IL 60640-4448 Ph: (872) 239-5253 | Three Raven Counseling, Llc 5215 N Ravenswood Ave Ste 312 Chicago IL 60640-1670 Ph: (872) 239-5253 |
| NPI Number | 1255966784 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255966784 | NPI | - | NPPES |
| 14010115 | Other | IL | CAQH |
| 1841738424 | Medicaid | IL |
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