| Tjg Psychotherapy Pc | |
|
122 S Michigan Ave Ste 1450 Chicago IL 60603-6176 | |
| (206) 351-2655 | |
| Not Available |
| Full Name | Tjg Psychotherapy Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 122 S Michigan Ave Ste 1450, Chicago, Illinois |
| Authorized Official Name and Position | Tamara J Gittelson (OWNER HEAD CLINICIAN) |
| Authorized Official Contact | 2063512655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tjg Psychotherapy Pc 2773 N Hampden Ct Apt 502 Chicago IL 60614-2333 Ph: (206) 351-2655 | Tjg Psychotherapy Pc 122 S Michigan Ave Ste 1450 Chicago IL 60603-6176 Ph: (206) 351-2655 |
| NPI Number | 1629688254 |
|---|---|
| Provider Enumeration Date | 08/07/2020 |
| Last Update Date | 08/07/2020 |
| Certification Date | 08/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629688254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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