Organization
COUNSELING CENTER OF THE NORTH SHORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M MARDIROSSIAN PH.D., L.C.S.W. (EXECUTIVE DIRECTOR)
(847) 446-8060
Entity
Organization
Contact information
Practice address
992 1/2 GREEN BAY RD, WINNETKA, IL 60093
(847) 446-8060
(847) 446-9768
Mailing address
992 1/2 GREEN BAY RD, WINNETKA, IL 60093-1722
(847) 446-8060
(847) 446-9768
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
071.009790
IL
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/30/2006
Last updated
01/05/2024
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