Organization
AFFILIATES IN COUNSELING LLC
Active
Other names
The Center For Divorce Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
JASON R PRICE LMFT (PARTNER)
(847) 480-0300
Entity
Organization
Contact information
Practice address
910 SKOKIE BLVD, SUITE 215, NORTHBROOK, IL 60062-4013
(847) 480-0300
(847) 291-0576
Mailing address
910 SKOKIE BLVD, SUITE 215, NORTHBROOK, IL 60062-4013
(847) 480-0300
(847) 291-0576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149012969
IL
106H00000X
Marriage & Family Therapist
166000576
IL
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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