Organization
CHICAGO COUNSELING CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAYLOR NEWENDORP LCPC (PRESIDENT)
(773) 573-6569
Entity
Organization
Contact information
Practice address
6160 N CICERO AVE, SUITE 304, CHICAGO, IL 60646-4312
(773) 932-9597
(773) 243-0519
Mailing address
6160 N CICERO AVE, SUITE 304, CHICAGO, IL 60646-4312
(773) 932-9597
(773) 243-0519
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007907
IL
Other
Enumeration date
11/19/2011
Last updated
10/09/2015
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