Organization
WILLIS COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE FARRELL LCPC (CLINICAL THERAPIST)
(312) 476-9064
Entity
Organization
Contact information
Practice address
1448 N MILWAUKEE AVE, 205, CHICAGO, IL 60622-9225
(312) 476-9064
Mailing address
1448 N MILWAUKEE AVE, 205, CHICAGO, IL 60622-9225
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.009621
IL
Other
Enumeration date
06/24/2015
Last updated
06/25/2015
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