Organization
BACK TO BALANCE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN CANNON LCSW (LICENSED CLINICAL SOCIAL WORKER)
(773) 936-3196
Entity
Organization
Contact information
Practice address
5757 S MADISON ST, HINSDALE, IL 60521-8116
(773) 936-3196
Mailing address
5757 S MADISON ST, HINSDALE, IL 60521-8116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016683
IL
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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