Organization
CHICAGO MINDFUL PSYCHOTHERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA JONES LCSW (OWNER)
(773) 368-9619
Entity
Organization
Contact information
Practice address
4737 N CLARK ST, CHICAGO, IL 60640-7758
(773) 368-9619
Mailing address
4737 N CLARK ST, CHICAGO, IL 60640-7758
(773) 368-9619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011529
IL
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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