Organization
CREATE SPACE THERAPIES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE DUNN LCPC (OWNER, PSYCHOTHERAPIST)
(630) 803-7407
Entity
Organization
Contact information
Practice address
1 EAST ERIE ST, SUITE 525 #4186, CHICAGO, IL 60611
(630) 803-7407
Mailing address
1 EAST ERIE ST, SUITE 525 #4186, CHICAGO, IL 60611
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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