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Individual

CHRISTY THIELEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1209 W DIVERSEY PKWY UNIT G-2, CHICAGO, IL 60614-1201
(773) 236-8566
Mailing address
1209 W DIVERSEY PKWY UNIT G-2, CHICAGO, IL 60614-1201
(773) 236-8566

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.010029
IL
101YP2500X
Professional Counselor
Primary
180.013938
IL

Other

Enumeration date
05/16/2018
Last updated
12/12/2022
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