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Organization
REGAL CONNECTIONS TELEHEALTH
Active
Organization
REGAL CONNECTIONS TELEHEALTH
Active
Other names
Regal Connections Telehealth
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE FAULKNER LCSW (VICE PRESIDENT)
(773) 331-4709
Entity
Organization
Contact information
Practice address
1525 E 53RD ST STE 422, CHICAGO, IL 60615-4530
(773) 331-4709
Mailing address
2835 SCOTT CRES, FLOSSMOOR, IL 60422-1723
(773) 331-4709
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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