| NPI | 1235253824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNN MESMER Owner 815-444-9076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YP2500X Counselor Professional | |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |