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THRIVEWORKS CLINICAL – ILLINOIS 1164190633

Overview
Name: THRIVEWORKS CLINICAL – ILLINOIS Specialty: Mental Health Counselor Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Behavioral Health & Social Service Providers Classification: Counselor Specialization: Mental Health. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: THRIVEWORKS CLINICAL – ILLINOIS,THRIVEWORKS,333 N MICHIGAN AVE STE 1810,CHICAGO,IL,606013983,US Mailing Address: THRIVEWORKS CLINICAL – ILLINOIS,THRIVEWORKS,1000 JEFFERSON ST STE 2C,LYNCHBURG,VA,245041724,US
Contact #
Practice location phone #: 8552847483 Practice location fax #: Mailing address Phone #: 5402176461 Mailing Address fax #: Authorized official Name/Telephone #:ANTHONY, CENTORE, CEO 5402176461
Misc
Date NPI was obtained: 08/31/2021 Last data data was updated: 03/29/2022 Insurances:
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