Organization
HOLISTIC COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY JEAN FITZGERALD LCPC (COUNSELOR)
(618) 420-6260
Entity
Organization
Contact information
Practice address
132 LAKE LORRAINE DR, SWANSEA, IL 62226-2492
(618) 420-6260
Mailing address
132 LAKE LORRAINE DR, SWANSEA, IL 62226-2492
(618) 420-6260
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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