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Organization
EMERGE AND SEE PSYCHONAUTICS, PLLC
Active
Organization
EMERGE AND SEE PSYCHONAUTICS, PLLC
Active
Other names
Emerge and See Psychonautics
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL D MARTIN LCPC (OWNER/CHIEF EMERGENCE OFFICER)
(312) 206-3099
Entity
Organization
Contact information
Practice address
2905 PLANTATION DR, CARPENTERSVILLE, IL 60110-3293
(312) 206-3099
Mailing address
2905 PLANTATION DR, CARPENTERSVILLE, IL 60110-3293
(312) 206-3099
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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