Organization
FLEX THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HENNICK-JAFFE LCSW (VICE PRESIDENT)
(847) 638-0086
Entity
Organization
Contact information
Practice address
4118 N AVERS AVE, CHICAGO, IL 60618-1904
(847) 638-0086
Mailing address
4118 N AVERS AVE, CHICAGO, IL 60618-1904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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