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Organization
LUMENA COUNSELING, PLLC
Active
Organization
LUMENA COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GUY RUSSELL LCSW (CEO)
(312) 933-0509
Entity
Organization
Contact information
Practice address
5941 W CORCORAN PL UNIT 1, CHICAGO, IL 60644-1992
(312) 933-0509
Mailing address
5941 W CORCORAN PL UNIT 1, CHICAGO, IL 60644-1992
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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