NPI | 1609665900 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKE BRACKETT Clinical Counselor 815-978-9669 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
Enumeration Date | 2025-05-02 |
Last Update Date | 2025-05-02 |