Organization
SOMAWISE CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SHERRON LCPC (LICENSED COUNSELOR)
(312) 810-9553
Entity
Organization
Contact information
Practice address
2761 W SAINT MARY ST, CHICAGO, IL 60647-4022
(312) 810-9553
Mailing address
2761 W SAINT MARY ST, CHICAGO, IL 60647-4022
(312) 810-9553
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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