| NPI | 1609202878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L STEVENSON Clinical Counselor 773-807-4520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008341) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |