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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