NPI | 1609243492 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN A HULTGREN Lcpc, Owner 630-800-5207 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.009077) |
Enumeration Date | 2015-08-27 |
Last Update Date | 2015-08-27 |