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Organization
INNERSIGHT COUNSELING, LLC
Active
Organization
INNERSIGHT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. IRENE MEDINA LCSW (OWNER)
(773) 802-3618
Entity
Organization
Contact information
Practice address
17W727 BUTTERFIELD RD, SUITE G, OAKBROOK TERRACE, IL 60181-4278
(773) 802-3618
Mailing address
17W727 BUTTERFIELD RD, SUITE G, OAKBROOK TERRACE, IL 60181-4278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180004492
IL
1041C0700X
Clinical Social Worker
Primary
149015712
IL
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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