Organization
CHICAGO CHRISTIAN COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KUBA (BILLING MANAGER)
(708) 845-5500
Entity
Organization
Contact information
Practice address
15127 S 73RD AVE, G, ORLAND PARK, IL 60462-4398
(708) 845-5500
(708) 845-5505
Mailing address
15127 S 73RD AVE, G, ORLAND PARK, IL 60462-4398
(800) 361-6880
(708) 845-5505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
09/25/2020
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