| NPI | 1063075513 |
|---|---|
| Other Name | COUNSELING AND NEURO DYNAMICS LLC. |
| Entity Type | Organization |
| Authorized Contact | DEVONE VERSE Executive Director 773-619-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| 208D00000X General Practice | |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| 251S00000X | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2021-06-07 |