Organization
COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARYN LYNN INGRUM I PSYD (OWNER)
(708) 479-4007
Entity
Organization
Contact information
Practice address
19015 S JODI RD, SUITE H, MOKENA, IL 60448-8514
(708) 479-4007
(708) 479-4073
Mailing address
19015 S JODI RD, SUITE H, MOKENA, IL 60448-8514
(708) 479-4007
(708) 479-4073
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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