| NPI | 1134554827 |
|---|---|
| Doing Business As | FOX BEND COUNSELING |
| Entity Type | Organization |
| Authorized Contact | ANTHONY KOKALJ Owner 815-436-5739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180008716) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2015-09-02 |