NPI | 1659048858 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA FULLERTON Owner And Clinician 847-456-2971 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2021-08-25 |
Last Update Date | 2024-07-15 |