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Organization
THE VIDERI CLINIC FOR EMOTIONAL HEALTH PLLC
Active
Organization
THE VIDERI CLINIC FOR EMOTIONAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO GONZALEZ III (FOUNDER AND DIRECTOR)
(708) 351-8212
Entity
Organization
Contact information
Practice address
207 E OHIO ST # 386, CHICAGO, IL 60611-4092
(708) 351-8212
Mailing address
207 E OHIO ST # 386, CHICAGO, IL 60611-4092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/20/2022
Last updated
02/20/2022
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