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Individual

CATHERINE ADELIA HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
1317 W COLUMBIA AVE, CHICAGO, IL 60626-4325
(312) 792-6583

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
149.017438
IL
1041C0700X
Clinical Social Worker
Primary
149.017438
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
149.017438
CLINICAL LICENSE
IL
Enumeration date
11/01/2012
Last updated
03/07/2025
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