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Organization
OBSIDIAN COUNSELING AND WELLNESS, LLC
Active
Organization
OBSIDIAN COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILYSSA LASKY (OWNER)
(847) 208-2972
Entity
Organization
Contact information
Practice address
1200 SHERMER RD STE 203, NORTHBROOK, IL 60062-4500
(847) 208-2972
Mailing address
723 ELM ST STE 20, WINNETKA, IL 60093-2565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
10/16/2024
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