Individual
MRS. SALLY DIANN GRIFFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LMFT
Contact information
Practice address
SEVEN BLANCHARD CIRCLE, SUITE 201, WHEATON, IL 60189-2039
(630) 653-2300
(630) 653-2895
Mailing address
SEVEN BLANCHARD CIRCLE, SUITE 201, WHEATON, IL 60189-2039
(630) 653-2300
(630) 653-2895
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180003758
IL
106H00000X
Marriage & Family Therapist
166000540
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215643
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/17/2006
Last updated
04/05/2016
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