Organization
NORTHSIDE CENTER FOR RELATIONSHIP COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH SMITH HETHERINGTON LMFT, LCPC (DIRECTOR)
(773) 791-0469
Entity
Organization
Contact information
Practice address
1770 W BERTEAU AVE, SUITE 302A, CHICAGO, IL 60613-1849
(773) 791-0469
Mailing address
1770 W BERTEAU AVE, SUITE 302A, CHICAGO, IL 60613-1849
(773) 791-0469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.003937
IL
106H00000X
Marriage & Family Therapist
Primary
166.000557
IL
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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