Organization
HUMBOLDT PARK COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN SELLERS LCSW (OWNER, PSYCHOTHERAPIST)
(312) 620-0408
Entity
Organization
Contact information
Practice address
938 N CALIFORNIA AVE, COMMERCIAL UNIT, CHICAGO, IL 60622-1435
(312) 620-0408
Mailing address
3446 W HIRSCH ST, CHICAGO, IL 60651-2314
(312) 620-0408
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
10/15/2021
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