person
Laurel Beth Goldman
Mental Health Counselor in Chicago, Illinois
NPI 1265908636

Laurel Beth Goldman is a Mental Health Counselor based in Chicago, IL and is specialized in Mental Health. Laurel Beth Goldman practices in Chicago, IL. The NPI Number for Laurel Beth Goldman is 1265908636 and holds a License No. (Illinois).

The current practice location address for Laurel Beth Goldman is 4314 S Cottage Grove Ave, Chicago, IL and can be reached out via phone at 312-747-0036 and via fax at 312-747-2208.

Location: 4314 S Cottage Grove Ave, Chicago, IL, 60625-6636
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Provider Profile Details
NPI Number
1265908636
Provider Name
Laurel Beth Goldman
Credential
Provider Entity Type
Individual
Gender
Female
Address
4314 S Cottage Grove Ave, Chicago, IL, 60625-6636
Phone Number
312-747-0036
Fax Number
312-747-2208
Provider Enumeration Date
10/23/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265758619 05 IL
institution
Provider Business Practice Location Address Details
Address
4314 S Cottage Grove Ave
City
State
Zip
60653-3514
Phone Number
312-747-0036
Fax Number
312-747-2208
person
Provider Business Mailing Address Details
Address
4314 S Cottage Grove Ave
City
State
Zip
60653-3514
Phone Number
312-747-0036
Fax Number
312-747-2208
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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