SOULRECONSTRUCT PSYCHOTHERAPY

CHICAGO, IL
NPI1083287924
Entity TypeOrganization
Authorized ContactSIERRIA CHANNING COLEMAN
Owner/Lic Clini Coun
615-424-2761
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-07-19
Last Update Date2021-07-19
Business Address
SOULRECONSTRUCT PSYCHOTHERAPY
1136 S DELANO CT W STE B201
CHICAGO, IL 60605-3734
Phone number: 312-476-9682
Mailing Address
SOULRECONSTRUCT PSYCHOTHERAPY
1136 S DELANO CT W STE B201
CHICAGO, IL 60605-3734
Phone number: 312-476-9682