Organization
CHANGES COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE NOVAK LCPC (OWNER/COUNSELOR)
(815) 501-2088
Entity
Organization
Contact information
Practice address
1315 MEMORIAL DR, MENDOTA, IL 61342-1447
(815) 501-2088
Mailing address
PO BOX 364, ROCHELLE, IL 61068-0364
(815) 501-2088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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