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Organization

ELEVATE THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RALIAT Q ADEBOYEJO LCPC (LICENSED THERAPIST/OWNER)
(217) 512-0346
Entity
Organization

Contact information

Practice address
1564 N DAMEN AVE STE 208, CHICAGO, IL 60622-2102
(217) 512-0346
Mailing address
1564 N DAMEN AVE STE 208, CHICAGO, IL 60622-2102
(217) 512-0346

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
10/07/2020
Last updated
01/03/2021
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