| NPI | 1790165389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLLYN MCKINSTRY Professional Counselor 815-618-4152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.006239) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |