Organization
MIND TO MIND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FABIOLA MONTIEL PSYD (OWNER/CLINICAL PSYCHOLOGIST)
(312) 324-4809
Entity
Organization
Contact information
Practice address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(312) 324-4809
Mailing address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(312) 324-4809
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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