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Organization
NORTHLIGHT COUNSELING, LLC
Active
Organization
NORTHLIGHT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARIL FAITH GALLUP LCSW (OWNER/SOLE PROPRIETOR)
(847) 962-5234
Entity
Organization
Contact information
Practice address
4180 ROUTE 83, SUITE #10, LONG GROVE, IL 60047
(847) 962-5234
Mailing address
4180 ROUTE 83, SUITE #10, LONG GROVE, IL 60047
(847) 962-5234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-008819
IL
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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