| NPI | 1275046021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COX Psychotherapist, Owner 815-363-0864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.011082) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2024-02-27 |