Boulevard Counseling Pllc

NPI #1780367565 in Chicago, Illinois

Provider Information

NPI Number: 1780367565
Entity Type: Organization
Organization Name: Boulevard Counseling Pllc
Primary Specialty: Social Worker
Enumeration Date: Aug 9, 2023
Last Updated: Aug 14, 2023

Practice Location

Address: 1835 S HAMLIN AVE
City: Chicago
State: Illinois
ZIP Code: 60623-3895
Phone: (419) 595-0667

Authorized Official

Name: JEANETTE LEE, LCSW, JD
Title: PSYCHOTHERAPIST
Phone: (419) 595-0667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist	103T00000X
Social Worker	104100000X	Primary

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