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Fermata Psychotherapy, P.C.

Social Worker, Clinical in Chicago, IL. Organization (NPI-2).

NPI number1669964482
StatusActive
Last updated in NPPESApr 8, 2025

Details

NPI
1669964482
Entity type
Organization (NPI-2)
Legal business name
Fermata Psychotherapy, P.C.
Organization subpart
No
Enumeration date
Jun 6, 2018
Certification date
Apr 8, 2025
Last updated
Apr 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical149.019286ILYes

Practice location

53 W Jackson Blvd Ste 1450
Chicago, IL 60604-3535

Phone 312-725-6192

Mailing address

53 W Jackson Blvd Ste 1632
Chicago, IL 60604-3734

Phone 312-520-6096

Authorized official

Santiago Delboy
President
3125206096

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