Organization
CHICAGO CENTER FOR PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE M REA LCSW (LICENSED CLINICAL SOCIAL WORKER)
(708) 996-0699
Entity
Organization
Contact information
Practice address
137 N OAK PARK AVE STE 327, OAK PARK, IL 60301-1375
(708) 848-0491
(708) 848-2876
Mailing address
137 N OAK PARK AVE STE 327, OAK PARK, IL 60301-1375
(708) 848-0491
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071-004882
IL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/05/2011
Last updated
02/03/2022
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