Organization
EMBODIED COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA LYNN CHERRY LCSW (THERAPIST/OWNER)
(319) 231-7528
Entity
Organization
Contact information
Practice address
3712 N BROADWAY ST # 109, CHICAGO, IL 60613-4235
(319) 231-7528
Mailing address
3712 N BROADWAY ST # 109, CHICAGO, IL 60613-4235
(319) 231-7528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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