Organization
BLUE SAGE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA TOWNSEND LCSW (OWNER/MANAGER)
(708) 374-7694
Entity
Organization
Contact information
Practice address
1286 N MILWAUKEE AVE FL 2, CHICAGO, IL 60622-9319
(708) 374-7694
Mailing address
5952 W NEWPORT AVE, CHICAGO, IL 60634-4222
(708) 374-7694
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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