| NPI | 1013633551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN CANNON Counselor/Practice Owner 312-521-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103K00000X Behavior Analyst | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 251B00000X Case Management | |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |