Organization
FORWARD INTENTIONS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN POTESHMAN LCPC (FOUNDER/THERAPIST)
(312) 945-8798
Entity
Organization
Contact information
Practice address
1309 N ASHLAND AVE, CHICAGO, IL 60622-8744
(847) 668-6250
Mailing address
1309 N ASHLAND AVE, CHICAGO, IL 60622-8744
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/23/2020
Last updated
09/28/2020
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