LAVENDER MOON SELF ILLUMINATING COUNSELING SERVICES PLLC

CHICAGO, IL
NPI1558189076
Entity TypeOrganization
Authorized ContactTAYLOR QUINN
Owner/Lcpc
708-504-2528
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2024-10-02
Last Update Date2024-10-02
Business Address
LAVENDER MOON SELF ILLUMINATING COUNSELING SERVICES PLLC
1858 W CHICAGO AVE APT 3R
CHICAGO, IL 60622-5547
Phone number: 708-504-2528
Mailing Address
LAVENDER MOON SELF ILLUMINATING COUNSELING SERVICES PLLC
1858 W CHICAGO AVE APT 3R
CHICAGO, IL 60622-5547
Phone number: