Individual
MS. AMY FABIOLA RIVAS ORELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 N MICHIGAN AVE STE 1909, CHICAGO, IL 60602-3626
(773) 362-6222
(773) 362-6222
Mailing address
30 N MICHIGAN AVE STE 1909, CHICAGO, IL 60602-3626
(773) 362-6222
(773) 362-6222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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