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Organization

MOUNTAIN OF CHANGE COUNSELING AND PSYCHOLOGICAL SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EVETTE AKUA ADDAI PH.D. (PEDIATRIC PSYCHOLOGIST)
(217) 520-6337
Entity
Organization

Contact information

Practice address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(312) 219-4430
Mailing address
2027 W DIVISION ST # 130, CHICAGO, IL 60622-9024
(312) 219-4430

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
04/18/2024
Last updated
04/18/2024
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