Organization
AUTHENTICALLY YOU PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDRA ALISE VARGAS MA, LCPC, PMH-C (OWNER)
(773) 354-5007
Entity
Organization
Contact information
Practice address
1704 N 12TH AVE, MELROSE PARK, IL 60160-2251
(773) 354-5007
Mailing address
1704 N 12TH AVE, MELROSE PARK, IL 60160-2251
(773) 354-5007
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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