Individual
DEBRA THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.C.P.C.
Contact information
Practice address
1170 E BELVIDERE RD, SUITE 201, GRAYSLAKE, IL 60030-2061
(847) 548-0492
(847) 548-0537
Mailing address
1114 ARBOR LN, GLENVIEW, IL 60025-3240
(847) 832-0594
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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