NPI | 1568152189 |
---|---|
Doing Business As | FULL LIFE ASSESSMENT & THERAPY |
Entity Type | Organization |
Authorized Contact | MICHAEL KESSLER President 217-751-8995 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2023-05-08 |
Last Update Date | 2023-09-15 |