Organization
INNOVATIVE PSYCHOLOGY COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD MALCZYNSKI (CHIEF FINANCIAL OFFICER)
(847) 508-2016
Entity
Organization
Contact information
Practice address
4318 W CRYSTAL LAKE RD, UNIT L, MCHENRY, IL 60050-4210
(847) 508-2016
Mailing address
PO BOX 541, WONDER LAKE, IL 60097-0541
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008289
IL
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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