Organization
CHICAGO COLLABORATIVE PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MORIN PH.D. (CLINICAL PSYCHOLOGIST)
(312) 834-7014
Entity
Organization
Contact information
Practice address
205 N MICHIGAN AVE STE 1660, CHICAGO, IL 60601-6022
(312) 834-7014
Mailing address
4861 N PAULINA ST APT 2A, CHICAGO, IL 60640-4110
(312) 834-7014
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009604
IL
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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