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Mr. Costa Provis, LCPC
Professional Counselor in Chicago, Illinois
NPI 1679767826

Costa Provis is a Professional Counselor based in Morton Grove, IL and is specialized in Professional. Costa Provis practices in Chicago, IL and has the professional credentials of LCPC. The NPI Number for Costa Provis is 1679767826 and holds a License No. (Illinois).

The current practice location address for Costa Provis is 444 N Michigan Ave, Chicago, IL and can be reached out via phone at 847-529-8607.

Location: 444 N Michigan Ave, Chicago, IL, 60053-1063
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Provider Profile Details
NPI Number
1679767826
Provider Name
Costa Provis
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
444 N Michigan Ave, Chicago, IL, 60053-1063
Phone Number
847-529-8607
Fax Number
Provider Enumeration Date
08/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
444 N Michigan Ave
City
State
Zip
60611-3903
Phone Number
847-529-8607
Fax Number
person
Provider Business Mailing Address Details
Address
444 N Michigan Ave
City
State
Zip
60611-3903
Phone Number
847-529-8607
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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