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Organization
THE SELF-CARE PATH, LLC
Active
Organization
THE SELF-CARE PATH, LLC
Active
Other names
Firefighter Behavioral Health of Illinois, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH ANN GURA MA, LCPC (OWNER)
(815) 557-1267
Entity
Organization
Contact information
Practice address
1333 BURR RIDGE PKWY, 200, BURR RIDGE, IL 60527-6423
(708) 429-0353
(386) 263-8326
Mailing address
1333 BURR RIDGE PKWY, 200, BURR RIDGE, IL 60527-6423
(708) 429-0353
(386) 263-8326
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007613
IL
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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