person
Ms. Melody Bather-gardner, MA,MISAII
Addiction (Substance Use Disorder) Counselor in Chicago, Illinois
NPI 1215107438

Melody Bather-gardner is an Addiction (Substance Use Disorder) Counselor based in Chicago, IL and is specialized in Addiction (Substance Use Disorder). Melody Bather-gardner practices in Chicago, IL and has the professional credentials of MA,MISAII. The NPI Number for Melody Bather-gardner is 1215107438 and holds a License No. (Illinois).

The current practice location address for Melody Bather-gardner is 2020 W Harrison St, Chicago, IL and can be reached out via phone at 312-572-4518 and via fax at 312-572-4518.

Location: 2020 W Harrison St, Chicago, IL, 60612-3741
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Provider Profile Details
NPI Number
1215107438
Provider Name
Melody Bather-gardner
Credential
MA,MISAII
Provider Entity Type
Individual
Gender
Female
Address
2020 W Harrison St, Chicago, IL, 60612-3741
Phone Number
312-572-4518
Fax Number
312-572-4518
Provider Enumeration Date
03/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19258 01 IL IAODAPCA
institution
Provider Business Practice Location Address Details
Address
2020 W Harrison St
City
State
Zip
60612-3741
Phone Number
312-572-4518
Fax Number
312-572-4518
person
Provider Business Mailing Address Details
Address
2020 W Harrison St
City
State
Zip
60612-3741
Phone Number
312-572-4518
Fax Number
312-572-4518
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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