Organization
BLUE IRIS THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSON WOODY MA, LCPC (CLINICAL THERAPIST)
(708) 665-5252
Entity
Organization
Contact information
Practice address
915 MAPLETON AVE, OAK PARK, IL 60302
(708) 665-5252
Mailing address
7061 NORTH AVE # 516, OAK PARK, IL 60302-1015
(708) 665-5252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
10/20/2022
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