NPI | 1770650442 |
---|---|
Doing Business As | CHRISTUS LIGHT COUNSELING |
Entity Type | Organization |
Authorized Contact | CANDICE RAE HOGDEN Director Counselor 309-692-1220 |
Organization Subpart ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: WI 2243-123) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180-004984) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2025-09-11 |