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Organization
GOOD LIFE MENTAL HEALTH
Active
Organization
GOOD LIFE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA DE LEON LCPC, BC-DMT (OWNER)
(630) 484-0074
Entity
Organization
Contact information
Practice address
910 WASHINGTON ST APT 1B, EVANSTON, IL 60202-2238
(630) 484-0074
Mailing address
910 WASHINGTON ST APT 1B, EVANSTON, IL 60202-2238
(630) 484-0074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/15/2023
Last updated
06/02/2025
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