NPI | 1619480019 |
---|---|
Doing Business As | REBECCA MALLEY LCPC, PC |
Entity Type | Organization |
Authorized Contact | REBECCA MALLEY FITZGERALD Owner 708-522-4009 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180007277) |
Enumeration Date | 2017-11-08 |
Last Update Date | 2020-07-02 |