| NPI | 1194437962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE DUNLAP Owner/Practice Manger And Therapist 309-236-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2022-12-23 |