Organization
INDIVO COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT BARLOW LCPC (FOUNDER)
(773) 573-6727
Entity
Organization
Contact information
Practice address
6331 N GLENWOOD AVE APT 2, CHICAGO, IL 60660-1340
(773) 573-6727
Mailing address
4610 N CLARK ST # 1010, CHICAGO, IL 60640-4620
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154967982
NPI INDIVIDUAL
IL
Enumeration date
04/30/2021
Last updated
03/29/2024
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