MEDICARE: CONNOR COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1457115735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNOR COUNSELING

Provider Business Mailing Address
First Line	:	8 S MICHIGAN AVE STE 2800
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-3326
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3206 CHERRYWOOD RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78722-1627
Country	:	US
Telephone Number	:	630-730-1722
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAURA CONNOR
Credential	:	LCPC
Telephone Number	:	630-730-1722

Provider Enumeration Date	:	02/07/2024
Last Update Date	:	02/07/2024

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Directions to “CONNOR COUNSELING ” Practice Location

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