Organization
NOCD CALIFORNIA BEHAVIORAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY TRUSKY (COO)
(847) 436-3265
Entity
Organization
Contact information
Practice address
225 N MICHIGAN AVE STE 1430, CHICAGO, IL 60601-7653
(312) 766-6780
(312) 261-5080
Mailing address
225 N MICHIGAN AVE STE 1430, CHICAGO, IL 60601-7653
(312) 766-6780
(312) 261-5080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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