| NPI | 1639152259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN MARIE HAMSEN Private Practitioner Owner 847-659-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2015-01-14 |