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 |