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Organization
MY ART THERAPY STUDIO, PLLC
Active
Organization
MY ART THERAPY STUDIO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH RAQUE LCPC, ATR-BC (OWNER, PROFESSIONAL COUNSELOR)
(502) 554-4666
Entity
Organization
Contact information
Practice address
3124 W LOGAN BLVD, CHICAGO, IL 60647-1627
(312) 278-7628
Mailing address
4610 N CLARK ST # 1203, CHICAGO, IL 60640-4620
(312) 278-7628
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
01/04/2024
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