Organization
MIND BODY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA ANN ST JEAN LCPC (OWNER)
(978) 697-5301
Entity
Organization
Contact information
Practice address
2551 N CLARK ST STE 301, CHICAGO, IL 60614-7732
(978) 697-5301
Mailing address
2551 N CLARK ST STE 301, CHICAGO, IL 60614-7732
(978) 697-5301
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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