Organization
GHOLSON CONSULTING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY CHERYL GHOLSON LCSW, PHD (CEO/CLINICAL SOCIAL WORKER)
(217) 202-8433
Entity
Organization
Contact information
Practice address
365 N JEFFERSON ST APT 2207, CHICAGO, IL 60661-1229
(217) 202-8433
Mailing address
365 N JEFFERSON ST APT 2207, CHICAGO, IL 60661-1229
(217) 202-8433
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149014440
IL
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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