Organization
BLUE CHAIR COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M FOX LCSW (MEMBER)
(618) 920-1680
Entity
Organization
Contact information
Practice address
2921 MARYVILLE RD STE B, MARYVILLE, IL 62062-5400
(618) 920-1680
Mailing address
2921 MARYVILLE RD STE B, MARYVILLE, IL 62062-5400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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