Organization
THY X MY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON GEORGE BURNS JR. LCPC (OWNER)
(630) 923-5838
Entity
Organization
Contact information
Practice address
585 THORNHILL DR, UNIT 215, CAROL STREAM, IL 60188-2764
(630) 923-5838
Mailing address
585 THORNHILL DR, UNIT 215, CAROL STREAM, IL 60188-2764
(630) 923-5838
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180009724
IL
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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