Individual
CORRY PAYNE EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3629 S HERMITAGE AVE, APT 1, CHICAGO, IL 60609-1220
(503) 577-4378
Mailing address
3629 S HERMITAGE AVE, APT 1, CHICAGO, IL 60609-1220
(503) 577-4378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178011197
IL
101YM0800X
Mental Health Counselor
Primary
180.012222
IL
Other
Enumeration date
01/25/2017
Last updated
05/08/2019
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