Organization
CHRYSALIS COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BURT LCPC (PRINCIPLE)
(773) 570-0088
Entity
Organization
Contact information
Practice address
3257 N SHEFFIELD AVE, SUITE 108, CHICAGO, IL 60657-2270
(773) 570-0088
(773) 404-5095
Mailing address
3257 N SHEFFIELD AVE, SUITE 108, CHICAGO, IL 60657-2270
(773) 570-0088
(773) 404-5095
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007553
IL
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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