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Organization

CHARISM COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY GREEN LCPC, MA, MBA, MDIV (PSYCHOTHERAPIST)
(773) 230-7536
Entity
Organization

Contact information

Practice address
661 WEST LAKE STREET, SUITE 2S, CHICAGO, IL 60661
(773) 230-7536
Mailing address
1440 W TAYLOR ST STE 152, CHICAGO, IL 60607-4623

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
07/21/2021
Last updated
05/21/2022
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