Organization
ETERNITYS PATH LLC A COUNSELING AND FAMILY RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JSHAUNTAE MARSHALL (OWNER)
(312) 276-5155
Entity
Organization
Contact information
Practice address
444 N MICHIGAN AVE STE 1200, CHICAGO, IL 60611-3959
(312) 276-5155
(702) 910-3231
Mailing address
444 N MICHIGAN AVE STE 1200, CHICAGO, IL 60611-3959
(312) 276-5155
(702) 910-3231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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