Organization
CENTER FOR CONTEXTUAL CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JO BARRETT MSW (OWNER)
(847) 676-4447
Entity
Organization
Contact information
Practice address
9239 GROSS POINT RD, SUITE 300, SKOKIE, IL 60077-1389
(847) 676-4447
(847) 676-4450
Mailing address
9239 GROSS POINT RD, SUITE 300, SKOKIE, IL 60077-1389
(847) 676-4447
(847) 676-4450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620417
BLUECROSS/BLUESHIELD
IL
01
—
215537
MEDICARE PTAN
IL
Enumeration date
08/10/2006
Last updated
08/13/2015
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