Individual
SHIRA GALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5100 N RAVENSWOOD AVE, CHICAGO, IL 60640-1710
(917) 855-4994
Mailing address
2941 W LUNT AVE, CHICAGO, IL 60645-2919
(917) 855-4994
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001305
IL
106H00000X
Marriage & Family Therapist
208.000484
IL
Other
Enumeration date
04/04/2016
Last updated
08/04/2019
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