Organization
INTEGRATIVE PSYCHOTHERAPY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELENA VASSALLO CROSSMAN LCPC (CO-MANAGER)
(708) 386-9690
Entity
Organization
Contact information
Practice address
137 N OAK PARK AVE STE 400, OAK PARK, IL 60301-1344
(708) 386-9690
Mailing address
137 N OAK PARK AVE STE 400, OAK PARK, IL 60301-1344
(708) 386-9690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180-002780
IL
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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