| NPI | 1457627598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LEE JOHNSTON Counselor/Psychological Consultant 847-835-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180004094) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |