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Organization
MINDFUL BEHAVIOR
Active
Organization
MINDFUL BEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA J LEE LCPC (PRESIDENT)
(708) 304-3010
Entity
Organization
Contact information
Practice address
6815 W 63RD ST STE 7, CHICAGO, IL 60638-4066
(708) 304-3010
(708) 575-5333
Mailing address
PO BOX 388556, CHICAGO, IL 60638-8556
(708) 304-3010
(708) 575-5333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
03/27/2023
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