Organization
ENLIGHTENED WORDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATOYA BRAGG LCPC (CEO)
(708) 691-7272
Entity
Organization
Contact information
Practice address
515 CASS ST # 73, CRETE, IL 60417-2820
(708) 414-0388
Mailing address
24382 PATRIOT LN, CRETE, IL 60417-2075
(708) 691-7272
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/03/2014
Last updated
07/30/2024
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