Organization
MY THERAPIST
Active
Organization
MY THERAPIST
Active
Other names
My Therapist, My Therapist
Organization subpart
No
Provider details
NPI number
Authorized official
SAIRA KHAN LCPC (MENTAL HEALTH THERAPIST)
(224) 440-2665
Entity
Organization
Contact information
Practice address
915 CAMPBELL DR, GURNEE, IL 60031-3112
(224) 440-2665
Mailing address
915 CAMPBELL DR, GURNEE, IL 60031-3112
(224) 440-2665
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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