| Embodied Counseling | |
|
3712 N Broadway St # 109 Chicago IL 60613-4235 | |
| (319) 231-7528 | |
| Not Available |
| Full Name | Embodied Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3712 N Broadway St # 109, Chicago, Illinois |
| Authorized Official Name and Position | Victoria Lynn Cherry (THERAPIST/OWNER) |
| Authorized Official Contact | 3192317528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodied Counseling 3712 N Broadway St # 109 Chicago IL 60613-4235 Ph: (319) 231-7528 | Embodied Counseling 3712 N Broadway St # 109 Chicago IL 60613-4235 Ph: (319) 231-7528 |
| NPI Number | 1043081458 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043081458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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