Organization
SHORELINE PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL GOLDSMITH LMFT (OWNER/MARRIAGE AND FAMILY THERAPIST)
(847) 868-2199
Entity
Organization
Contact information
Practice address
1940 SHERMAN AVE STE A, EVANSTON, IL 60201
(330) 620-1043
Mailing address
620 CUSTER AVE, EVANSTON, IL 60202-2605
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001025
IL
Other
Enumeration date
11/28/2017
Last updated
08/22/2018
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