Individual
AUTUMN HOLTSCHLAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3665 N BROADWAY ST, CHICAGO, IL 60613-4567
(773) 496-4433
Mailing address
420 W MELROSE ST APT 203, CHICAGO, IL 60657-3871
(989) 252-9011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/23/2022
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