Organization
NORTHERN LIGHT COUNSELING & CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA M RAGO PSYD, LCPC (THERAPIST/OWNER)
(708) 692-8462
Entity
Organization
Contact information
Practice address
18700 WOLF RD STE 245, MOKENA, IL 60448-8603
(708) 692-8462
Mailing address
18700 WOLF RD STE 245, MOKENA, IL 60448-8603
(708) 692-8462
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922425222
INDIVIDUAL NPI
IL
Enumeration date
09/24/2018
Last updated
09/24/2018
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