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Contact Information

SANCTUARY COUNSELING, LLC
12247 S RACINE AVE
CALUMET PARK, IL60643
 Phone: 312-687-0198
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Mental Health

261QM0850X
 

Community/Behavioral Health

251S00000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for SANCTUARY COUNSELING LLC · (Female)

NPI # 1366075566
Status Active
Credentials
Entity Individual
Enumeration date 02/16/2020
Last updated 02/16/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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