Organization
ELITE YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA DENTON ED.D, LCPC, CADC, (COUNSELING PSYCHOLOGIST)
(312) 339-2740
Entity
Organization
Contact information
Practice address
15127 S 73RD AVE, ORLAND PARK, IL 60462-4398
(708) 586-9608
Mailing address
15127 S. 73RD AVE., C, ORLAND PARK, IL 60462
(708) 586-9608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21976
IL
101YP2500X
Professional Counselor
Primary
180.009481
IL
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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