Organization
COVERT MINDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN GABRIELLE BOLOTIN LCSW (CEO)
(847) 924-0775
Entity
Organization
Contact information
Practice address
111 W WASHINGTON ST STE 1042, CHICAGO, IL 60602-2741
(872) 222-9388
Mailing address
239 APPLETREE LN, WILMETTE, IL 60091-3101
(847) 924-0775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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