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Organization
THIRD EYE THERAPY CHICAGO LLC
Active
Organization
THIRD EYE THERAPY CHICAGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIREN GUERECA (OWNER)
(313) 312-5010
Entity
Organization
Contact information
Practice address
17 N WABASH AVE STE 515, CHICAGO, IL 60602-4818
(513) 460-8217
Mailing address
17 N WABASH AVE STE 515, CHICAGO, IL 60602-4818
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/22/2019
Last updated
05/22/2021
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