Organization
CENTER FOR SELF-ACTUALIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY ROHAN BOBEL LCPC (DIRECTOR)
(312) 927-0216
Entity
Organization
Contact information
Practice address
3317 W 95TH ST, SUITE 101, EVERGREEN PARK, IL 60805-2243
(312) 927-0216
Mailing address
3317 W 95TH ST, SUITE 101, EVERGREEN PARK, IL 60805-2243
(312) 927-0216
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008083
IL
101YP2500X
Professional Counselor
180008956
IL
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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