person
Mr. Michael Alan Banghart
Counselor in Chicago, Illinois
NPI 1336362631

Michael Alan Banghart is a Counselor based in Oak Park, IL. Michael Alan Banghart practices in Chicago, IL. The NPI Number for Michael Alan Banghart is 1336362631 and holds a License No. 178.002258 (Illinois).

The current practice location address for Michael Alan Banghart is 2501 W Washington Blvd Ste 401, Chicago, IL and can be reached out via phone at 773-645-8900.

Location: 2501 W Washington Blvd Ste 401, Chicago, IL, 60304-1626
person
Provider Profile Details
NPI Number
1336362631
Provider Name
Michael Alan Banghart
Credential
Provider Entity Type
Individual
Gender
Male
Address
2501 W Washington Blvd Ste 401, Chicago, IL, 60304-1626
Phone Number
773-645-8900
Fax Number
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2501 W Washington Blvd Ste 401
City
State
Zip
60612-2127
Phone Number
773-645-8900
Fax Number
person
Provider Business Mailing Address Details
Address
2501 W Washington Blvd Ste 401
City
State
Zip
60612-2127
Phone Number
773-645-8900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
178.002258 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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