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Organization
NORTHSIDE CENTER FOR RELATIONSHIP COUNSELING
Active
Organization
NORTHSIDE CENTER FOR RELATIONSHIP COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH SMITH HETHERINGTON LMFT, LCPC (DIRECTOR)
(773) 791-0469
Entity
Organization
Contact information
Practice address
1770 W BERTEAU AVE, SUITE 302A, CHICAGO, IL 60613-1849
(773) 791-0469
Mailing address
1770 W BERTEAU AVE, SUITE 302A, CHICAGO, IL 60613-1849
(773) 791-0469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.003937
IL
106H00000X
Marriage & Family Therapist
Primary
166.000557
IL
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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