| Authentically You Psychotherapy, Pllc | |
|
1704 N 12th Ave Melrose Park IL 60160-2251 | |
| (773) 354-5007 | |
| Not Available |
| Full Name | Authentically You Psychotherapy, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1704 N 12th Ave, Melrose Park, Illinois |
| Authorized Official Name and Position | Kendra Alise Vargas (OWNER) |
| Authorized Official Contact | 7733545007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentically You Psychotherapy, Pllc 1704 N 12th Ave Melrose Park IL 60160-2251 Ph: (773) 354-5007 | Authentically You Psychotherapy, Pllc 1704 N 12th Ave Melrose Park IL 60160-2251 Ph: (773) 354-5007 |
| NPI Number | 1821726936 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821726936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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