Organization
THE MANSIO CENTER, INC.
Active
Other names
Abba's Loft
Organization subpart
No
Provider details
NPI number
Authorized official
IRYNA ARUTE PSYD (CO-PRESIDENT)
(877) 506-2674
Entity
Organization
Contact information
Practice address
499 ANTHONY ST, GLEN ELLYN, IL 60137-4468
(877) 506-2674
Mailing address
499 ANTHONY ST, GLEN ELLYN, IL 60137-4468
(877) 506-2674
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180010058
IL
103TC0700X
Clinical Psychologist
Primary
071009406
IL
Other
Enumeration date
11/02/2016
Last updated
09/17/2021
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