Organization
BABA YAGA THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYRA L KEUBEN LCSW (THERAPIST)
(773) 234-2898
Entity
Organization
Contact information
Practice address
3452 N AVERS AVE APT 3R, CHICAGO, IL 60618-5214
(773) 234-2898
Mailing address
3452 N AVERS AVE APT 3R, CHICAGO, IL 60618-5214
(773) 234-2898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
12/10/2023
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