Organization
WHOLISTIC CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN MARIE TSCHAMPA LOPOTKO LCPC, RPH (OWNER/MENTAL HEALTH COUNSELOR)
(630) 790-9488
Entity
Organization
Contact information
Practice address
311 MERTON AVE, GLEN ELLYN, IL 60137-5203
(630) 790-9488
(630) 545-3630
Mailing address
311 MERTON AVE, GLEN ELLYN, IL 60137-5203
(630) 790-9488
(630) 545-3630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952767733
MENTAL HEALTH COUNSELOR
IL
Enumeration date
03/14/2019
Last updated
05/17/2023
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