Organization
EFFLORESCE THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDDY REYES (LICENSED CLINICAL PROFESSIONAL COU)
(312) 870-0118
Entity
Organization
Contact information
Practice address
1735 W DIVERSEY PKWY APT 508, CHICAGO, IL 60614-1072
(312) 870-0118
Mailing address
1735 W DIVERSEY PKWY APT 508, CHICAGO, IL 60614-1072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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