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Organization
UNFETTERED PSYCHOTHERAPY & CONSULTING LLC
Active
Organization
UNFETTERED PSYCHOTHERAPY & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA COUSER (LICENSED CLINICAL SOCIAL WORKER)
(773) 450-6363
Entity
Organization
Contact information
Practice address
2650 W MONTROSE AVE STE 302, CHICAGO, IL 60618-1674
(773) 450-6363
Mailing address
6123 N WOLCOTT AVE, CHICAGO, IL 60660-2323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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