Organization
EN ROUTE COUNSELING AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIAMOND TUCKER LCPC (OWNER)
(773) 922-0304
Entity
Organization
Contact information
Practice address
4401 N CLARK ST, CHICAGO, IL 60640
(773) 922-0304
Mailing address
4000 W MONTROSE AVE # 2028, CHICAGO, IL 60641-2140
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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