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Organization
NURTURING FAMILIES IN ILLINOIS
Active
Organization
NURTURING FAMILIES IN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETA PRISSELL PEREZ LCSW, LPHA (BOARD OF DIRECTOR)
(773) 567-9763
Entity
Organization
Contact information
Practice address
211 E ILLINOIS ST STE L2, WHEATON, IL 60187-5403
(773) 567-9763
Mailing address
211 E ILLINOIS ST STE L2, WHEATON, IL 60187-5403
(773) 567-9763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TF0000X
Family Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2019
Last updated
07/06/2019
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