Organization
TALENTED TENTH SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMIN MARIE WEAVER LCPC (CLINICAL DIRECTOR)
(773) 426-1193
Entity
Organization
Contact information
Practice address
30W483 FAIRWAY DR, NAPERVILLE, IL 60563-9165
(312) 945-6202
Mailing address
30W483 FAIRWAY DR, NAPERVILLE, IL 60563-9165
(312) 945-6202
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
180009390
IL
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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