Intertwined
Intertwined is a Professional Counselor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
- Specialties on file
- 4
Practice location Address checks out
10540 S Western Ave Ste 103Chicago, IL 60643-2541
Phone: (708) 499-2030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149011142 (IL) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 180005742 (IL) |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
Record details
| NPI number | 1205168424 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rochelle Johnson — Owner · (708) 499-2030 |
| NPI enumerated | February 13, 2010 |
| Last updated in NPPES | March 17, 2025 |
| Certification date | March 17, 2025 |
| Mailing address | 10540 S Western Ave Ste 103, Chicago, IL 60643-2541 |
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