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Organization
PROSPERING MINDS COUNSELING
Active
Organization
PROSPERING MINDS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY WOLFRAM LCPC, MA (PRACTICE OWNER/COUNSELOR)
(815) 236-5503
Entity
Organization
Contact information
Practice address
1 E NORTHWEST HWY STE 212, PALATINE, IL 60067-1700
(815) 236-5503
Mailing address
1403 TALL OAKS DR, CAROL STREAM, IL 60188-4204
(815) 236-5503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114492303
INDIVIDUAL NPI
IL
Enumeration date
09/30/2022
Last updated
09/30/2022
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