Organization
INTEGRATIVE GROUP PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE M BAILEY YODER LCPC, NCC (OWNER)
(847) 322-2975
Entity
Organization
Contact information
Practice address
25663 W BROOKS FARM RD, ROUND LAKE, IL 60073-5250
(847) 322-2975
Mailing address
25663 W BROOKS FARM RD, ROUND LAKE, IL 60073-5250
(847) 322-2975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180010617
IL
Other
Enumeration date
05/27/2018
Last updated
05/27/2018
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