Organization
NURTURING FAMILIES IN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETA PRISSELL PEREZ LCSW, LPHA (BOARD OF DIRECTOR)
(773) 567-9763
Entity
Organization
Contact information
Practice address
211 E ILLINOIS ST STE L2, WHEATON, IL 60187-5403
(773) 567-9763
Mailing address
211 E ILLINOIS ST STE L2, WHEATON, IL 60187-5403
(773) 567-9763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TF0000X
Family Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2019
Last updated
07/06/2019
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