| NPI | 1700377470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY JESSEN Owner, Therapist 847-910-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008492) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |