Organization
DIVERGENT PATH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA HOWARD LCSW (PSYCHOTHERAPIST)
(757) 903-1246
Entity
Organization
Contact information
Practice address
1340 N ASTOR ST UNIT 2205, CHICAGO, IL 60610-8432
(757) 903-1246
Mailing address
1340 N ASTOR ST UNIT 2205, CHICAGO, IL 60610-8432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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