Organization
AUTHENTIC LIVING THERAPEUTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE ANN GUT LCPC (LCPC, OWNER)
(224) 567-3468
Entity
Organization
Contact information
Practice address
201 W HIAWATHA TRAIL, MT. PROSPECT, IL 60056-3763
(224) 567-3468
Mailing address
201 W HIAWATHA TRAIL, MT. PROSPECT, IL 60056-3763
(224) 567-3468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
04/30/2024
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