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Organization

IMPACT WELLNESS SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAMONT JONES (PRESIDENT)
(586) 354-8383
Entity
Organization

Contact information

Practice address
2117 PRENTISS DR APT K212, DOWNERS GROVE, IL 60516-2217
(586) 354-8383
Mailing address
2117 PRENTISS DR APT K212, DOWNERS GROVE, IL 60516-2217
(586) 354-8383

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/10/2017
Last updated
07/21/2022
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