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Organization
PROSPER COUNSELING AND CONSULTING, PLLC
Active
Organization
PROSPER COUNSELING AND CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSONDRA BLAKE LCPC (OWNER)
(708) 665-5711
Entity
Organization
Contact information
Practice address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(708) 665-5711
Mailing address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(708) 665-5711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/27/2022
Last updated
12/28/2022
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