Organization
CHICAGO THERAPY WORKING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KULLGREN MA, LCPC (OWNER)
(312) 622-7115
Entity
Organization
Contact information
Practice address
4157 W FLETCHER ST, CHICAGO, IL 60641-5432
(312) 554-5425
Mailing address
4157 W FLETCHER ST, CHICAGO, IL 60641-5432
(312) 554-5425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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