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Organization
INTENTIONAL FULFILLMENT COUNSELING L.L.C.
Active
Organization
INTENTIONAL FULFILLMENT COUNSELING L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA MITCHELL LCSW (LICENSED CLINICAL SOCIAL WORKER)
(779) 242-9571
Entity
Organization
Contact information
Practice address
429 N WEBER RD # 405, ROMEOVILLE, IL 60446-3902
(779) 242-9571
Mailing address
429 N WEBER RD # 405, ROMEOVILLE, IL 60446-3902
(779) 242-9571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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