| NPI | 1982299848 |
|---|---|
| Former Legal Business Name | THE HOLISTIC COUNSELOR |
| Entity Type | Organization |
| Authorized Contact | FURRUNNECIA NEWBERRY Therapist 815-954-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2022-06-07 |