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Organization

BLUEPRINT AGENCY NFP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHAYLA POWELL (EXECUTIVE DIRECTOR)
(815) 782-2322
Entity
Organization

Contact information

Practice address
210 N HAMMES AVE STE 204, JOLIET, IL 60435-8139
(815) 782-2322
Mailing address
4222 CARRINGTON LN, PLAINFIELD, IL 60586-7748
(630) 618-8668

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/30/2021
Last updated
09/17/2025
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