Organization
HYDE PARK CENTER FOR HEALING LLC
Active
Other names
Jessica Kuhnen
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KUHNEN LCSW (CEO)
(872) 212-3424
Entity
Organization
Contact information
Practice address
5113 S HARPER AVE STE 2006, CHICAGO, IL 60615-4119
(872) 212-3424
Mailing address
7418 S LAFAYETTE AVE, CHICAGO, IL 60621-3406
(773) 699-6283
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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