Organization
INNER PEACES COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANANCIA STAFFORD (OWNER/PSYCHOTHERAPIST)
(312) 788-7703
Entity
Organization
Contact information
Practice address
73 W MONROE ST STE 228, CHICAGO, IL 60603-4955
(773) 413-8054
Mailing address
6127 S UNIVERSITY AVE, CHICAGO, IL 60637-5894
(773) 494-9457
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
04/15/2020
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