Organization
PRIVATE PRACTICE OF P QUEHL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE KAREN QUEHL LMFT, LCSW (OWNER)
(312) 208-5620
Entity
Organization
Contact information
Practice address
1 E SUPERIOR ST STE 500, CHICAGO, IL 60611-2507
(312) 208-5620
Mailing address
930 W AINSLIE ST APT 1, CHICAGO, IL 60640-3820
(312) 208-5620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149-008175
LCSW LICENSE
IL
01
—
166.000542
LMFT LICENSE
IL
Enumeration date
05/11/2020
Last updated
05/11/2020
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