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Organization

HEARTSPACE COUNSELING, PLLC

Active
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Organization

HEARTSPACE COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK MICHAEL RODGERS LCSW (PSYCHOTHERAPIST)
(773) 430-3502
Entity
Organization

Contact information

Practice address
4849 N RAVENSWOOD AVE APT 2S, CHICAGO, IL 60640-4413
(773) 430-3502
Mailing address
4849 N RAVENSWOOD AVE APT 2S, CHICAGO, IL 60640-4413
(773) 430-3502

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
03/20/2024
Last updated
03/25/2024
About Stedi
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  • EDI platform