Organization
FAITHLIFE COUNSELING
Active
Other names
The Baldwin Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY BETH BUSSERT LCPC (PRESIDENT)
(847) 224-6762
Entity
Organization
Contact information
Practice address
2215 LAKESIDE DR, BANNOCKBURN, IL 60015-1265
(847) 295-1600
(847) 295-1609
Mailing address
2215 LAKESIDE DR, BANNOCKBURN, IL 60015-1265
(847) 295-1600
(847) 295-1609
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
180004924
IL
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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