Organization
WITH GRACE COUNSELING AND CONSULTING INTERNATIONAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RENEE YOUNG PH.D. (OWNER/CEO)
(773) 983-6417
Entity
Organization
Contact information
Practice address
851 N MAPLE DR, CHICAGO HEIGHTS, IL 60411-2124
(773) 983-6417
Mailing address
1333 W END AVE, CHICAGO HEIGHTS, IL 60411-2748
(773) 983-6417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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