NPI | 1336527639 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA GROSSKOPF Owner/Director 815-727-2830 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
101YM0800X Counselor Mental Health | |
101YP2500X Counselor Professional | |
103TA0400X Psychologist Addiction (Substance Use Disorder) | |
103TB0200X Psychologist Cognitive & Behavioral | |
103TC0700X Psychologist Clinical | |
103TC2200X Psychologist Clinical Child & Adolescent | |
103TF0000X Psychologist Family | |
103TF0200X Psychologist Forensic | |
103TR0400X Psychologist Rehabilitation | |
104100000X Social Worker | |
1041C0700X Social Worker Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2015-05-07 |
Last Update Date | 2015-05-07 |