Individual
BIRDIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5537 N CLARK ST APT 2, CHICAGO, IL 60640-0751
(773) 570-1220
Mailing address
1348 W CHASE AVE APT 3, CHICAGO, IL 60626-6366
(616) 734-3057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.020714
IL
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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