Organization
CREATIVE LIFE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA E FOSTER LCPC (THERAPIST)
(773) 576-7032
Entity
Organization
Contact information
Practice address
1925 N. MILWAUKEE AVE., CHICAGO, IL 60647-4345
(773) 576-7032
(773) 486-1345
Mailing address
1925 N. MILWAUKEE AVE., CHICAGO, IL 60647-4345
(773) 576-7032
(773) 486-1345
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180007233
IL
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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