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Organization
MIND MOVE THERAPY PLLC
Active
Organization
MIND MOVE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET MONTGOMERY LCPC (PRINCIPAL)
(312) 504-2179
Entity
Organization
Contact information
Practice address
2441 N FAIRFIELD AVE, CHICAGO, IL 60647-0582
(312) 504-2179
Mailing address
2441 N FAIRFIELD AVE, CHICAGO, IL 60647-0582
(312) 504-2179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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