Individual
ELENA KOLOMYTSEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5100 N RAVENSWOOD AVE, CHICAGO, IL 60640-1710
(773) 830-4199
Mailing address
40 E 9TH ST APT 713, CHICAGO, IL 60605-2143
(320) 469-4112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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