| NPI | 1992240204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA M STAFFORD Clinical Professional Counselor 630-606-6743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180001516) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |