| NPI | 1427767623 |
|---|---|
| Doing Business As | YOUR IDENTITY COUNSELING |
| Entity Type | Organization |
| Authorized Contact | AVERY M RAVITZ Owner 773-873-2969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2025-02-28 |