Organization
ELLEN CERASALE PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN CERASALE LCPC (PSYCHOTHERAPIST)
(317) 590-6535
Entity
Organization
Contact information
Practice address
155 N MICHIGAN AVE STE 637, CHICAGO, IL 60601-7796
(317) 590-6535
Mailing address
155 N MICHIGAN AVE STE 637, CHICAGO, IL 60601-7796
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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