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Organization

MARTIRENA THERAPY AND COUNSELING INC.

Active
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Organization

MARTIRENA THERAPY AND COUNSELING INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA MARIE MARTIRENA LCPC, MT-BC (LICENSED PROFESSIONAL CLINICAL COUN)
(773) 319-8138
Entity
Organization

Contact information

Practice address
10540 S WESTERN AVE, SUITE 200, CHICAGO, IL 60643-2536
(773) 319-8138
(773) 614-8078
Mailing address
10459 S MAPLEWOOD AVE, CHICAGO, IL 60655-1024
(773) 319-8138
(773) 614-8078

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180008411
IL

Other

Enumeration date
04/25/2014
Last updated
04/25/2014
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