Emerge and See Psychonautics, Pllc
NPI #1811773757 in Carpentersville, Illinois
Provider Information
- NPI Number
- 1811773757
- Entity Type
- Organization
- Organization Name
- Emerge and See Psychonautics, Pllc
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Sep 6, 2023
- Last Updated
- Sep 6, 2023
Practice Location
- Address
- 2905 PLANTATION DR
- City
- Carpentersville
- State
- Illinois
- ZIP Code
- 60110-3293
- Phone
- (312) 206-3099
Authorized Official
- Name
- PAUL D MARTIN, LCPC
- Title
- OWNER/CHIEF EMERGENCE OFFICER
- Phone
- (312) 206-3099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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