| NPI | 1962367128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN COLLINS Licensed Mental Health Counselor 309-361-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2025-12-19 |