Organization
CHRONIC ILLNESS PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE KRISTINE BRENNER LCSW (MANAGING PROVIDER)
(847) 497-8374
Entity
Organization
Contact information
Practice address
2530 CRAWFORD AVE STE 116, EVANSTON, IL 60201-4954
(847) 497-8374
Mailing address
2530 CRAWFORD AVE STE 116, EVANSTON, IL 60201-4954
(847) 497-8374
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015344
IL
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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