Organization
BRICOLAGE WELLNESS, LLC
Active
Other names
Clarity Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN M LEPRICH-GRAVES LCPC (OWNER/ CLINICAL THERAPIST)
(630) 866-5666
Entity
Organization
Contact information
Practice address
477 E BUTTERFIELD RD STE 212, LOMBARD, IL 60148-4879
(630) 866-5666
Mailing address
477 E BUTTERFIELD RD STE 212, LOMBARD, IL 60148-4879
(630) 866-5666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180010822
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149014623
IDPFR
IL
01
—
149015800
IDPFR
IL
01
—
178013661
IDPFR
IL
01
—
180010822
IDPFR
IL
Enumeration date
08/18/2017
Last updated
10/19/2020
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