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Organization
TAKE HEART COUNSELING
Active
Organization
TAKE HEART COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDRA K EISIN-BANAZEK LCPC (PROFESSIONAL COUNSELOR)
(773) 967-9085
Entity
Organization
Contact information
Practice address
1309 W COLUMBIA AVE, CHICAGO, IL 60626-4325
(773) 967-9085
Mailing address
1309 W COLUMBIA AVE, CHICAGO, IL 60626-4325
(773) 720-2911
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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