Organization
CONSULTATION KARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATJA AISHA MIMMS M.A., LPC (C.E.O)
(312) 504-9048
Entity
Organization
Contact information
Practice address
514 E 50TH PL, CHICAGO, IL 60615-2466
(773) 633-2151
Mailing address
6348 N MILWAUKEE AVE # 186, CHICAGO, IL 60646-3728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.007536
IL
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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