Organization
CREATIVE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY THORSON LCPC (OWNER)
(224) 236-2616
Entity
Organization
Contact information
Practice address
1117 S MILWAUKEE AVE STE A12, LIBERTYVILLE, IL 60048-5268
(224) 236-2616
Mailing address
1104 HEDGEROW DR, GRAYSLAKE, IL 60030-3547
(847) 275-4309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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