Generative Chaos
Generative Chaos is a Mental Health Counselor in Chicago, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
1518 N Cleveland Ave # 1Chicago, IL 60610-1110
Phone: (773) 570-0498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1346973278 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theodora Cunningham — Owner And Operator · (773) 570-0498 |
| NPI enumerated | July 7, 2022 |
| Last updated in NPPES | July 7, 2022 |
| Certification date | July 7, 2022 |
| Mailing address | 1518 N Cleveland Ave # 1, Chicago, IL 60610-1110 |
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