John Codd, L.C.S.W., C.A.D.C.
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1649669367
StatusActive
Last updated in NPPESJan 19, 2015
Details
- NPI
- 1649669367
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Codd
- Credential
- L.C.S.W., C.A.D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 19, 2015
- Last updated
- Jan 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149007057 | IL | Yes |
Practice location
3759 N Ravenswood AveSuite 133
Chicago, IL 60613-3571
Phone 773-351-7101
Mailing address
3759 N Ravenswood AveSuite 133
Chicago, IL 60613-3571
Phone 773-351-7101
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