Organization
EMERALD PATH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGIE MEI ZHIN YONG MA (CHIEF EXECUTIVE OFFICER)
(630) 345-6345
Entity
Organization
Contact information
Practice address
2325 DEAN ST STE 800L, SAINT CHARLES, IL 60175-4813
(630) 345-6345
Mailing address
2325 DEAN ST STE 800L, SAINT CHARLES, IL 60175-4813
(630) 345-6345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/12/2024
Last updated
05/20/2025
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