| NPI | 1710812136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE COVELLO Licensed Professional Counselor 708-745-0729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-06-16 |
| Last Update Date | 2026-06-16 |