Organization
CHRYSALIS COUNSELING AND CONSULTING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON E MONTGOMERY LCSW (PRESIDENT/CEO)
(708) 699-1600
Entity
Organization
Contact information
Practice address
1525 E 53RD ST STE 623, CHICAGO, IL 60615-4530
(708) 699-1600
Mailing address
6958 S KING DR, CHICAGO, IL 60637-4614
(708) 699-1600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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