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 |