Organization
POVOLNY COUNSELING AND PSYCHOLOGICAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ALICE POVOLNY PHD (PRESIDENT)
(630) 415-0780
Entity
Organization
Contact information
Practice address
188 W INDUSTRIAL DR, SUITE 132, ELMHURST, IL 60126-1623
(630) 415-0780
Mailing address
188 W INDUSTRIAL DR, SUITE 132, ELMHURST, IL 60126-1623
(630) 415-0780
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005235
IL
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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