Organization
BETHESDA BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LUCY THOMPSON EDD (CEO)
(773) 817-1168
Entity
Organization
Contact information
Practice address
1337 W 73RD ST, CHICAGO, IL 60636-4101
(773) 817-1168
Mailing address
1337 W 73RD ST, CHICAGO, IL 60636-4101
(773) 817-1168
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
04/12/2024
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