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Cory Nietzke
NPI 1962832550 · on the registry since 2013 · sole proprietor
Practice
- Address
- 5547 N Ravenswood Ave
Chicago, IL 60640 - Phone
- (773) 818-0495
- Fax
- (773) 769-1476
- Organisation at this address
- Wildlight Therapy
Stephanie Ceranec Llc
Inner Choice Psychotherapy
Grossman Family Therapy Pllc
Momentum Psychotherapy, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 40
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois