Organization
INNER FIRE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY ANDREW PROCEK (MARRIAGE AND FAMILY THERAPIST)
(630) 383-7050
Entity
Organization
Contact information
Practice address
123 W WASHINGTON ST, SUITE 325, OSWEGO, IL 60543-8254
(630) 383-7050
(630) 383-7050
Mailing address
123 W WASHINGTON ST, SUITE 325, OSWEGO, IL 60543-8254
(630) 383-7050
(630) 383-7050
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000917
IL
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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