Organization
ILLUMINATION COUNSELING LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C. YATA LCPC (PRESIDENT AND OWNER)
(312) 521-9618
Entity
Organization
Contact information
Practice address
410 S MICHIGAN AVE STE 620, CHICAGO, IL 60605-1401
(312) 521-9618
Mailing address
410 S MICHIGAN AVE STE 620, CHICAGO, IL 60605-1401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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