Organization
COFFEE TALK COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ELLO LCSW (OWNER)
(630) 699-2747
Entity
Organization
Contact information
Practice address
3528 N ASHLAND AVE, CHICAGO, IL 60657-1314
(773) 250-1774
Mailing address
1242 W PRATT BLVD APT 3F, CHICAGO, IL 60626-4354
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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