Organization
INTERCULTURAL BEHAVIORAL HEALTH & CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYAKO KONNO PSYD (OWNER/PSYCHOLOGIST)
(312) 545-8480
Entity
Organization
Contact information
Practice address
155 N MICHIGAN AVE STE 569, CHICAGO, IL 60601-7799
(312) 545-8480
Mailing address
155 N MICHIGAN AVE STE 569, CHICAGO, IL 60601-7799
(312) 545-8480
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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