Organization
MARS VALLON LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARS VALLON LCSW (OWNER)
(312) 509-2283
Entity
Organization
Contact information
Practice address
1509 W BERWYN AVE STE 202, CHICAGO, IL 60640-8168
(872) 222-7182
Mailing address
1327 W FARWELL AVE APT 3, CHICAGO, IL 60626-3727
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
01/23/2025
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