| 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 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |