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Organization

BETH HENNESSEY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH HENNESSEY (PROFESSIONAL COUNSELOR)
(773) 304-7148
Entity
Organization

Contact information

Practice address
3523 N LINCOLN AVE, CHICAGO, IL 60657-1137
(773) 929-6261
(773) 929-6762
Mailing address
1243 W GRANVILLE AVE # 2W, CHICAGO, IL 60660-1904
(773) 304-7148

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
108.007468
IL

Other

Enumeration date
07/17/2015
Last updated
07/17/2015
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