Ryan Andrew Momberger, MA
Counselor, Mental Health in Chicago, IL. Individual provider (NPI-1).
NPI number1164070900
StatusActive
Last updated in NPPESAug 26, 2019
Details
- NPI
- 1164070900
- Entity type
- Individual (NPI-1)
- Name
- Ryan Andrew Momberger
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2019
- Last updated
- Aug 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
123 W Madison St Ste 2150Chicago, IL 60602-4592
Phone 312-500-7795 · Fax 312-500-7796
Mailing address
4180 N Marine Dr Apt 1201Chicago, IL 60613-2214
Phone 815-494-3856
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