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 |