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Organization
VIVANT COUNSELING & PSYCHOTHERAPY, PLLC
Active
Organization
VIVANT COUNSELING & PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA DONALDSON LCPC (OWNER)
(773) 234-2767
Entity
Organization
Contact information
Practice address
849 W DIVERSEY PKWY APT 2W, CHICAGO, IL 60614-7632
(773) 234-2767
Mailing address
849 W DIVERSEY PKWY APT 2W, CHICAGO, IL 60614-7632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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