MEDICARE: LEAVE NO TRACE 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1669331518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEAVE NO TRACE COUNSELING

Provider Business Mailing Address
First Line	:	4443 N LEAVITT ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-1722
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4443 N LEAVITT ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-1722
Country	:	US
Telephone Number	:	312-772-4420
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL PROF COUNSELOR
Name	:	ELIZABETH DUNN
Credential	:
Telephone Number	:	312-772-4420

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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Directions to “LEAVE NO TRACE COUNSELING ” Practice Location

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