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Organization

THE ASPEN CENTER FOR COUNSELING AND CONSULTATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALISA MATTESON MUNDT PSYD (MANAGER)
(312) 540-8977
Entity
Organization

Contact information

Practice address
30 N MICHIGAN AVE, SUITE 925, CHICAGO, IL 60601-3463
(312) 540-8977
Mailing address
30 N MICHIGAN AVE, SUITE 925, CHICAGO, IL 60602-3402
(312) 540-8977

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007178
IL

Other

Enumeration date
06/01/2007
Last updated
04/01/2011
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