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Organization
TAKING CONTROL
Active
Organization
TAKING CONTROL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JORGENSON ED.D., LCPC (EXECUTIVE DIRECTOR)
(630) 801-1669
Entity
Organization
Contact information
Practice address
106F SOUTH LINCOLNWAY, NORTH AURORA, IL 60542
(630) 801-1669
(630) 801-1675
Mailing address
106F SOUTH LINCOLNWAY, NORTH AURORA, IL 60542
(630) 801-1669
(630) 801-1675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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