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Organization
WITH GRACE COUNSELING AND CONSULTING INTERNATIONAL, PLLC
Active
Organization
WITH GRACE COUNSELING AND CONSULTING INTERNATIONAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RENEE YOUNG PH.D. (OWNER/CEO)
(773) 983-6417
Entity
Organization
Contact information
Practice address
851 N MAPLE DR, CHICAGO HEIGHTS, IL 60411-2124
(773) 983-6417
Mailing address
1333 W END AVE, CHICAGO HEIGHTS, IL 60411-2748
(773) 983-6417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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