NPI | 1295289726 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN SCHIFFERDECKER Owner/Therapist 847-313-9490 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.009742) |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2016-08-13 |
Last Update Date | 2025-06-02 |