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Organization

PARK BENCH PSYCHOTHERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM LENCIONI (OWNER)
(630) 640-9580
Entity
Organization

Contact information

Practice address
155 N MICHIGAN AVE STE 500F, CHICAGO, IL 60601-7511
(630) 640-9580
Mailing address
1647 N ARTESIAN AVE UNIT 1, CHICAGO, IL 60647-5308
(630) 640-9580

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/08/2019
Last updated
05/08/2019
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