Organization
INSTITUTE FOR SOCIAL AND EMOTIONAL LEARNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA NICOLLE ARSENEAU (OFFICE MANAGER)
(779) 260-0520
Entity
Organization
Contact information
Practice address
206 CHESTERFIELD CT, BOURBONNAIS, IL 60914-9652
(815) 603-2425
Mailing address
PO BOX 2199, KANKAKEE, IL 60901-1199
(815) 603-2425
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/10/2017
Last updated
08/20/2024
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