Organization
CREATIVE COUNSELING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORINNA MARIE COSTELLO LCPC, ATR-BC (DIRECTOR, COUNSELOR)
(630) 837-5303
Entity
Organization
Contact information
Practice address
848 W BARTLETT RD, SUITE 12E, BARTLETT, IL 60103-4493
(630) 837-5303
(630) 837-5305
Mailing address
848 W BARTLETT RD, SUITE 12E, BARTLETT, IL 60103-4493
(630) 837-5303
(630) 837-5305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
96178
IL
101YM0800X
Mental Health Counselor
Primary
180005808
IL
101YP2500X
Professional Counselor
180005808
IL
Other
Enumeration date
06/01/2007
Last updated
12/19/2011
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