Organization
MICAH CALDWELL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH CALDWELL LCPC (OWNER/THERAPIST)
(708) 695-4841
Entity
Organization
Contact information
Practice address
3440 CLINTON AVE, BERWYN, IL 60402-3322
(708) 695-4841
Mailing address
7301 W 25TH ST # 130, NORTH RIVERSIDE, IL 60546-1409
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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