Organization
CLEA MIRZA JAMES LMFT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEA JAMES (OWNER/SOLE MEMBER)
(312) 767-7855
Entity
Organization
Contact information
Practice address
5215 N RAVENSWOOD AVE STE 211, CHICAGO, IL 60640-1670
(312) 767-7855
Mailing address
5215 N RAVENSWOOD AVE STE 211, CHICAGO, IL 60640-1670
(312) 767-7855
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
07/01/2022
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