Organization
HORIZON PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT RUSSELL DUNEVANT MA LCPS (SUPERVISOR AND PSYCHOTHERAPIST)
(219) 916-0822
Entity
Organization
Contact information
Practice address
3354 N PAULINA ST STE 206F, CHICAGO, IL 60657-1087
(219) 916-0822
Mailing address
3522 N PINE GROVE AVE UNIT B, CHICAGO, IL 60657-7381
(219) 916-0822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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