Individual
CRAIG MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LCPC
Contact information
Practice address
5601 N SHERIDAN RD APT 13C, CHICAGO, IL 60660-4865
(312) 925-4595
Mailing address
3712 N BROADWAY ST # 164, CHICAGO, IL 60613-4235
(312) 918-2885
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.012616
IL
1041C0700X
Clinical Social Worker
Primary
149.018893
IL
Other
Enumeration date
06/22/2020
Last updated
07/30/2020
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