Organization
CHICAGO BEHAVIOR CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L. LAWYER LCSW (EXECUTIVE DIRECTOR)
(773) 654-3484
Entity
Organization
Contact information
Practice address
655 W IRVING PARK RD, SUITE 204, CHICAGO, IL 60613-3123
(773) 654-3484
(773) 654-3484
Mailing address
1458 W BRYN MAWR AVE, SUITE 2, CHICAGO, IL 60660-4225
(773) 654-3484
(773) 654-3484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001673723
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/02/2006
Last updated
04/08/2013
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