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Organization
BE THE CHANGE COUNSELING SERVICES PC
Active
Organization
BE THE CHANGE COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MARIE BURRIS MA, LCPC (LCPC)
(708) 691-3663
Entity
Organization
Contact information
Practice address
136 CENTER ST, GRAYSLAKE, IL 60030
(708) 691-3663
Mailing address
1011 MACKENZIE DRIVE, ANTIOCH, IL 60002
(708) 691-3663
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
180007572
IL
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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