NPI | 1841958899 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLIE J SIVILL Licensed Professional Counselor 309-255-6290 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-12-06 |
Last Update Date | 2021-12-06 |