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Organization

COUNSELING CENTER FOR EMOTIONAL GROWTH CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GEORGETTE ELAIINE LEPAGE MS, LCPC (OWNER/PROVIDER)
(847) 967-0952
Entity
Organization

Contact information

Practice address
3660 N. LAKE SHORE DRIVE, UNIT 3010, CHICAGO, IL 60613-5314
(708) 373-1952
(312) 643-1341
Mailing address
3660 N. LAKE SHORE DRIVE, UNIT 3010, CHICAGO, IL 60613-5314
(708) 373-1952
(312) 643-1341

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor

Other

Enumeration date
12/22/2011
Last updated
12/04/2024
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