Organization
LEYDEN DUPAGE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CUNNINGHAM (EXECUTIVE DIRECTOR)
(630) 368-9100
Entity
Organization
Contact information
Practice address
1010 JORIE BLVD STE 12, OAK BROOK, IL 60523-4511
(630) 368-9100
Mailing address
1010 JORIE BLVD STE 12, OAK BROOK, IL 60523-4511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180009207
IL
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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