institution
Samantha Dallas Lcpc, Pllc
Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, Illinois
NPI 1760246201

Samantha Dallas Lcpc, Pllc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Chicago, IL and is specialized in Mental Health (Including Community Mental Health Center). Samantha Dallas Lcpc, Pllc practices in Chicago, IL. The NPI Number for Samantha Dallas Lcpc, Pllc is 1760246201 and holds a License No. (Illinois).

The current practice location address for Samantha Dallas Lcpc, Pllc is 20 N Clark St Ste 1103, Chicago, IL and can be reached out via phone at 815-474-3380.

Location: 20 N Clark St Ste 1103, Chicago, IL, 60602-4190
institution
Provider Profile Details
NPI Number
1760246201
Provider Name
Samantha Dallas Lcpc, Pllc
Credential
Provider Entity Type
Organization
Address
20 N Clark St Ste 1103, Chicago, IL, 60602-4190
Phone Number
815-474-3380
Fax Number
Provider Enumeration Date
02/06/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
20 N Clark St Ste 1103
City
State
Zip
60602-4190
Phone Number
815-474-3380
Fax Number
person
Provider Business Mailing Address Details
Address
20 N Clark St Ste 1103
City
State
Zip
60602-4190
Phone Number
815-474-3380
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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