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Organization
OLIVE BRANCH WELLNESS, PLLC
Active
Organization
OLIVE BRANCH WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABA AQEL LCPC, NCC (FOUNDER)
(312) 248-9475
Entity
Organization
Contact information
Practice address
2700 EMBLEM CIR UNIT 106, OSWEGO, IL 60543-3451
(312) 248-9475
Mailing address
2700 EMBLEM CIR UNIT 106, OSWEGO, IL 60543-3451
(312) 248-9475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
08/14/2023
Last updated
05/16/2024
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