| NPI | 1821200486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M JOSWICK Professional Clinical Counselor 815-609-5207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180003780) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |