person
Mrs. Suzanne Grant Blomberg, LCPC
Mental Health Counselor in Chicago, Illinois
NPI 1326392408

Suzanne Grant Blomberg is a Mental Health Counselor based in Chicago, IL and is specialized in Mental Health. Suzanne Grant Blomberg practices in Chicago, IL and has the professional credentials of LCPC. The NPI Number for Suzanne Grant Blomberg is 1326392408 and holds a License No. 180.008011 (Illinois).

The current practice location address for Suzanne Grant Blomberg is 4765 N Lincoln Ave Ste 209, Chicago, IL and can be reached out via phone at 773-255-7500.

Location: 4765 N Lincoln Ave Ste 209, Chicago, IL, 60625-2077
person
Provider Profile Details
NPI Number
1326392408
Provider Name
Suzanne Grant Blomberg
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
4765 N Lincoln Ave Ste 209, Chicago, IL, 60625-2077
Phone Number
773-255-7500
Fax Number
Provider Enumeration Date
10/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4765 N Lincoln Ave Ste 209
City
State
Zip
60625-2077
Phone Number
773-255-7500
Fax Number
person
Provider Business Mailing Address Details
Address
4765 N Lincoln Ave Ste 209
City
State
Zip
60625-2077
Phone Number
773-255-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.008011 (Illinois)
Definition
Definition to come...
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