Organization
GRACE COUNSELING & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE BANNER HUBBARD LCPC (OWNER &CLINICIAN)
(708) 724-9631
Entity
Organization
Contact information
Practice address
12715 S LA CROSSE AVE, ALSIP, IL 60803-3072
(708) 724-9631
Mailing address
12715 S LA CROSSE AVE APT 202, ALSIP, IL 60803-3051
(708) 724-9631
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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