Organization
COZY COUCH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAINA CAMPBELL LCPC (CO-OWNER)
(847) 894-7693
Entity
Organization
Contact information
Practice address
8526 KEDVALE AVE, SKOKIE, IL 60076-2113
(847) 894-7693
Mailing address
8526 KEDVALE AVE, SKOKIE, IL 60076-2113
(847) 894-7693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306343637
NPPES
IL
01
—
1457897225
NPPES
IL
Enumeration date
02/22/2023
Last updated
02/22/2023
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