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Organization
OLIVE BRANCH COUNSELING ASSOCIATES, INC.
Active
Organization
OLIVE BRANCH COUNSELING ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUELLA BETH DEVRIES M.A. (PRESIDENT)
(708) 687-3479
Entity
Organization
Contact information
Practice address
15601 CICERO AVE, SUITE 103, OAK FOREST, IL 60452-3635
(708) 687-3479
(708) 687-3480
Mailing address
15601 CICERO AVE, SUITE 103, OAK FOREST, IL 60452-3635
(708) 687-3479
(708) 687-3480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/19/2006
Last updated
08/22/2020
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