NPI | 1609970763 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY LEIGH MARSH Owner/Mental Health Therapist 618-288-8787 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-002968) |
Enumeration Date | 2006-09-11 |
Last Update Date | 2023-09-06 |