| NPI | 1881078855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L FELL Clinical Counselor 630-207-6752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008748) |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2015-08-12 |