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Organization
SOJOURNER CENTER FOR COUNSELING, INC.
Active
Organization
SOJOURNER CENTER FOR COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA JEAN TIPTON M.A. LCPC (PRESIDENT/OWNER)
(847) 566-3136
Entity
Organization
Contact information
Practice address
10 EXECUTIVE DR, SUITE 105, HAWTHORN WOODS, IL 60047-7509
(847) 566-3136
Mailing address
10 EXECUTIVE DR, SUITE 105, HAWTHORN WOODS, IL 60047-7509
(847) 566-3136
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007854629
AETNA
IL
01
—
04932018
BLUE CROSS & BLUE SHIELD
IL
Enumeration date
08/06/2006
Last updated
08/22/2020
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