Organization
CENTER FOR INTERSECTIONAL WELLBEING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUE LI PHD (OWNER)
(812) 349-8982
Entity
Organization
Contact information
Practice address
5153 N CLARK ST STE 306, CHICAGO, IL 60640-6850
(872) 302-7789
Mailing address
5153 N CLARK ST STE 306, CHICAGO, IL 60640-6850
(872) 302-7789
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
12/31/2024
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