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Organization
LIGHTHOUSE WELLNESS INSTITUTE
Active
Organization
LIGHTHOUSE WELLNESS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L STEVENSON LCPC (CLINICAL COUNSELOR)
(773) 807-4520
Entity
Organization
Contact information
Practice address
1803 W 95TH ST, #117, CHICAGO, IL 60643-1103
(773) 231-7707
(773) 435-6693
Mailing address
1803 W 95TH ST, #117, CHICAGO, IL 60643-1103
(773) 231-7707
(773) 435-6693
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008341
IL
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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