Organization
LINCOLN PARK THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLLE ALODIA MOLINA OSEQUEDA LMFT (OWNER/PSYCHOTHERAPIST)
(312) 259-2665
Entity
Organization
Contact information
Practice address
2755 N PINE GROVE AVE, CHICAGO, IL 60614-6109
(312) 259-2665
Mailing address
2755 N PINE GROVE AVE, CHICAGO, IL 60614-6109
(312) 259-2665
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000873
IL
Other
Enumeration date
07/05/2016
Last updated
01/25/2021
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