Organization
MINDS IN BLOOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SPITLER (OWNER)
(312) 847-4678
Entity
Organization
Contact information
Practice address
2156 W 21ST PL APT 1, CHICAGO, IL 60608-4010
(312) 847-4678
Mailing address
2156 W 21ST PL APT 1, CHICAGO, IL 60608-4010
(312) 847-4678
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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