Organization
SOUL TO SELF THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEWEL SPENCER (OWNER)
(312) 620-2726
Entity
Organization
Contact information
Practice address
7051 S BENNETT AVE APT 205, CHICAGO, IL 60649-2024
(312) 620-2726
Mailing address
7051 S BENNETT AVE APT 205, CHICAGO, IL 60649-2024
(312) 620-2726
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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