Organization
BREAK THE LEASE THERAPY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA JANINE FATIGATO LCSW (OWNER, PSYCHOTHERAPIST)
(847) 913-2605
Entity
Organization
Contact information
Practice address
2111 N MOZART ST APT 1W, CHICAGO, IL 60647-3980
(847) 913-2605
Mailing address
2111 N MOZART ST APT 1W, CHICAGO, IL 60647-3980
(847) 913-2605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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