| NPI | 1720460009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JEAN ANDERSON Licensed Clinical Professional Coun 847-323-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180004676) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |