Organization
ALL TYPES COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA RENE COPELAND CADC (PRESIDENT)
(708) 599-4220
Entity
Organization
Contact information
Practice address
9944 S ROBERTS RD STE 208, PALOS HILLS, IL 60465-1558
(708) 599-4220
Mailing address
9944 S ROBERTS RD STE 208, PALOS HILLS, IL 60465-1558
(708) 599-4220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23367
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634524
BCBS
IL
Enumeration date
04/02/2007
Last updated
08/22/2020
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