Organization
COMPASSIONATE COUCH CHICAGO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZZA MELINA AHMAD MUSTAFFA MED (LCPC)
(515) 817-3828
Entity
Organization
Contact information
Practice address
1200 N ASHLAND AVE STE 500, PMB 6094, CHICAGO, IL 60622-8327
(515) 817-3828
Mailing address
878 N PAULINA ST APT 2, CHICAGO, IL 60622-5093
(515) 817-3828
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
06/25/2024
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