Organization
INNER MISSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN A HULTGREN MA (LCPC, OWNER)
(630) 800-5207
Entity
Organization
Contact information
Practice address
801 E MAIN ST, ST CHARLES, IL 60174-2294
(630) 800-5207
(630) 820-0170
Mailing address
801 E MAIN ST, ST CHARLES, IL 60174-2294
(630) 800-5207
(630) 820-0170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.009077
IL
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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