NPI | 1154854925 |
---|---|
Entity Type | Organization |
Authorized Contact | JOAN M RYAN President 847-800-6722 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010005) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.010005) |
101YP2500X Counselor, Professional (Licence: IL 180.010005) | |
106H00000X Marriage & Family Therapist (Licence: IL 180.010005) | |
Enumeration Date | 2017-04-07 |
Last Update Date | 2017-04-07 |