Organization
FIREFIGHTER BEHAVIORAL HEALTH OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH ANN GURA LCPC (LICENSED CLINICAL PROFESSIONAL COUN)
(815) 557-1267
Entity
Organization
Contact information
Practice address
1333 BURR RIDGE PKWY, SUITE 200, BURR RIDGE, IL 60527-6423
(815) 557-1267
Mailing address
1333 BURR RIDGE PKWY, SUITE 200, BURR RIDGE, IL 60527-6423
(815) 557-1267
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.007613
IL
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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