Organization
STEPHANIE L BRENNAN LCPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BRENNAN LCPC (OWNER)
(773) 842-7291
Entity
Organization
Contact information
Practice address
5301 S NEWLAND AVE, CHICAGO, IL 60638-1126
(773) 842-7291
Mailing address
5301 S NEWLAND AVE, CHICAGO, IL 60638-1126
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180003607
IL
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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