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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AGAVE STUDIO FOR PSYCHOTHERAPY AND SPIRITUAL DIRECTION

Active Organization

AGAVE STUDIO FOR PSYCHOTHERAPY AND SPIRITUAL DIRECTION is a Clinical Psychologist organization located in CHICAGO, Illinois. NPI 1093079212 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · CHICAGO, IL

Registration Details

NPI Number
1093079212
Provider Type
Organization
NPI Issued
Jul 2, 2012 (14.146084066601 yrs)
Last Updated
Jul 2, 2012
License
071.008116 (IL)

Practice Information

Address
2950 W CHICAGO AVE
#302
CHICAGO, IL, 606224375
Browse IL providers · Browse ZIP 60622
Phone
7736272112
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Pastoral Counselor
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Organizations in CHICAGO, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.