Organization
TICIYOTL COUNSELING SERVICES, PC
Active
Other names
Ticiyotl Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA CISNEROS PSYD (OWNER)
(773) 280-5571
Entity
Organization
Contact information
Practice address
3328 W. PALMER STREET, CHICAGO, IL, CHICAGO, IL 60647
(347) 288-1354
Mailing address
3328 W PALMER ST, CHICAGO, IL 60647-2733
(347) 288-1354
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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