Provider Demographics
NPI:1861033268
Name:INTEGRATIVE PERSPECTIVES COUNSELING AND CONSULTING PC
Entity Type:Organization
Organization Name:INTEGRATIVE PERSPECTIVES COUNSELING AND CONSULTING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:URSETTO
Authorized Official - Suffix:
Authorized Official - Credentials:MA LCPC
Authorized Official - Phone:312-544-9343
Mailing Address - Street 1:2109 W IRVING PARK RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-3923
Mailing Address - Country:US
Mailing Address - Phone:312-544-9343
Mailing Address - Fax:312-253-1404
Practice Address - Street 1:2109 W IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-3923
Practice Address - Country:US
Practice Address - Phone:312-544-9343
Practice Address - Fax:312-253-1404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty