Organization
CHRYSALIS COUNSELING GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ROCKWELL BURT LCPC (OWNER/THERAPIST)
(773) 679-7928
Entity
Organization
Contact information
Practice address
3257 N SHEFFIELD AVE STE 108, CHICAGO, IL 60657-2276
(773) 679-7928
Mailing address
727 MONTICELLO PL, EVANSTON, IL 60201-1745
(773) 679-7928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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