Individual
AMBER DICOSOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 S MICHIGAN AVE STE 928, CHICAGO, IL 60605-1399
(312) 248-3190
Mailing address
5254 S DORCHESTER AVE APT 803, CHICAGO, IL 60615-6003
(630) 935-7434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178013565
IL
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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