NPI | 1558631275 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNE LINDGREN Lcpc 630-202-8141 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006999) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149012096) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2012-01-11 |