Organization
HUMBOLDT PARK COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN SELLERS (OWNER)
(312) 620-0408
Entity
Organization
Contact information
Practice address
1803 N CALIFORNIA AVE, CHICAGO, IL 60647-5105
(312) 620-0408
Mailing address
938 N CALIFORNIA AVE, CHICAGO, IL 60622-4462
(312) 620-0408
(312) 248-2595
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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