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Organization
REDEFINE YOU THERAPY AND CONSULTATION
Active
Organization
REDEFINE YOU THERAPY AND CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN CANNON (COUNSELOR/PRACTICE OWNER)
(312) 521-0866
Entity
Organization
Contact information
Practice address
5113 S HARPER AVE SUITE 2C, CHICAGO, IL 60615
(312) 521-0866
Mailing address
5113 S HARPER AVE SUITE 2C, CHICAGO, IL 60615
(312) 521-0866
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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