Organization
ULTREIA COUNSELING LLC
Active
Organization
ULTREIA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA KAY HOFFMAN LCPC (OWNER)
(630) 650-1460
Entity
Organization
Contact information
Practice address
307 N MICHIGAN AVE STE 412, CHICAGO, IL 60601-5318
(630) 650-1460
Mailing address
232 N OAK PARK AVE APT 3G, OAK PARK, IL 60302-2140
(630) 650-1460
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023381274
NPI
—
Enumeration date
10/22/2019
Last updated
10/22/2019
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