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Organization
THREE RAVEN COUNSELING, LLC
Active
Organization
THREE RAVEN COUNSELING, LLC
Active
Other names
Lauren L. Breit
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN LOUISE BREIT MA, LCPC, CADC, NCC (COUNSELOR/OWNER)
(872) 239-5253
Entity
Organization
Contact information
Practice address
5215 N RAVENSWOOD AVE STE 312, CHICAGO, IL 60640-1670
(872) 239-5253
Mailing address
4745 N HERMITAGE AVE REAR 2M, CHICAGO, IL 60640-4448
(872) 239-5253
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14010115
CAQH
IL
05
—
1841738424
—
IL
Enumeration date
03/05/2020
Last updated
03/05/2020
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