Chicago Christian Counseling Center INC
Social Worker, Clinical in Orland Park, IL. Organization (NPI-2).
NPI number1083664510
StatusActive
Last updated in NPPESSep 25, 2020
Details
- NPI
- 1083664510
- Entity type
- Organization (NPI-2)
- Legal business name
- Chicago Christian Counseling Center INC
- Organization subpart
- No
- Enumeration date
- May 12, 2006
- Certification date
- Sep 25, 2020
- Last updated
- Sep 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – |
Practice location
15127 S 73rd AveG
Orland Park, IL 60462-4398
Phone 708-845-5500 · Fax 708-845-5505
Mailing address
15127 S 73rd AveG
Orland Park, IL 60462-4398
Phone 800-361-6880 · Fax 708-845-5505
Authorized official
Amanda Kuba
Billing Manager
7088455500
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