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Organization
ROOTED SELF COUNSELING, PLLC
Active
Organization
ROOTED SELF COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORBERTO C CHAVEZ JR. (MANAGER)
(773) 724-1168
Entity
Organization
Contact information
Practice address
4707 N BROADWAY ST STE 200, CHICAGO, IL 60640-4999
(773) 688-8255
Mailing address
4707 N BROADWAY ST STE 200, CHICAGO, IL 60640-4999
(773) 688-8255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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