NPI 1003135211

Bucktown Counseling

Organisation Mental Health Counselor Chicago, IL

Practice location

Address: 1623 N Western Ave, Chicago, IL 60647-5321
Phone: (773) 446-7711

Authorised official

Name: Leann Sudalter Perlman
Title: Psychotherapist
Phone: (773) 446-7711

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 180006930I (IL)

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Registry record

NPI: 1003135211
Entity type: Organization
NPI issued: 27 May 2010
Record last updated: 17 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.