Organization
CENTER FOR INTUITIVE GROWTH AND HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA LILIA JAVIER-ETAPA LCPC (OWNER)
(708) 200-1306
Entity
Organization
Contact information
Practice address
10540 S WESTERN AVE STE 314, CHICAGO, IL 60643-2529
(708) 200-1306
Mailing address
9519 S TRUMBULL AVE, EVERGREEN PARK, IL 60805-3058
(708) 200-1306
(708) 907-3729
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245459106
—
IL
Enumeration date
10/09/2018
Last updated
01/03/2023
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