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Jeffrey Rordan Cillian Green
Counselor in Chicago, Illinois
NPI 1659087815

Jeffrey Rordan Cillian Green is a Counselor based in Chicago, IL. Jeffrey Rordan Cillian Green practices in Chicago, IL. The NPI Number for Jeffrey Rordan Cillian Green is 1659087815 and holds a License No. 178.018777 (Illinois).

The current practice location address for Jeffrey Rordan Cillian Green is 4711 N Broadway St Ste 102, Chicago, IL and can be reached out via phone at 630-523-3177.

Location: 4711 N Broadway St Ste 102, Chicago, IL, 60640-4908
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Provider Profile Details
NPI Number
1659087815
Provider Name
Jeffrey Rordan Cillian Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
4711 N Broadway St Ste 102, Chicago, IL, 60640-4908
Phone Number
630-523-3177
Fax Number
Provider Enumeration Date
01/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4711 N Broadway St Ste 102
City
State
Zip
60640-4908
Phone Number
630-523-3177
Fax Number
person
Provider Business Mailing Address Details
Address
4711 N Broadway St Ste 102
City
State
Zip
60640-4908
Phone Number
630-523-3177
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
178.018777 (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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