Individual
BRIAN CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(773) 432-6168
Mailing address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(773) 432-6168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022580
IL
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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