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Organization
MINDFULLY MODERN THERAPY
Active
Organization
MINDFULLY MODERN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILENE KASTEL MA, LCPC (CEO)
(773) 270-2787
Entity
Organization
Contact information
Practice address
1 E WACKER DR STE 550, CHICAGO, IL 60601-2005
(773) 270-2787
Mailing address
1 E WACKER DR STE 550, CHICAGO, IL 60601-2005
(773) 270-2787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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