Individual
CHRISTIAN SQUARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 PEARL ST, AURORA, IL 60505-4519
(630) 966-4497
Mailing address
1230 PEARL ST, AURORA, IL 60505-4519
(630) 966-4497
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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