EDWIN JOSEPH THULLEN

NEW LENOX, IL
NPI1598288870
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  149.018135)
Enumeration Date2017-07-19
Last Update Date2017-07-19
Business Address
EDWIN JOSEPH THULLEN LCSW
1938 E LINCOLN HWY UNIT 219
NEW LENOX, IL 60451-3860
Phone number: 815-320-3749
Mailing Address
EDWIN JOSEPH THULLEN LCSW
3105 W 102ND ST
EVERGREEN PARK, IL 60805-3516
Phone number: 312-718-3495