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Organization
MINDFUL PATH THERAPY PLLC
Active
Organization
MINDFUL PATH THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH LUCAS LCPC, CADC (OWNER/MANAGER)
(224) 423-9396
Entity
Organization
Contact information
Practice address
1803 E WISTORIA CT, MOUNT PROSPECT, IL 60056-1829
(224) 423-9396
Mailing address
1803 E WISTORIA CT, MOUNT PROSPECT, IL 60056-1829
(224) 423-9396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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