NPI | 1275665721 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK A. MYERS Owner 815-308-3368 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103TC1900X Psychologist, Counseling | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2007-03-11 |
Last Update Date | 2016-01-13 |