Organization
COMPASSIIONATE CARE AT LSC THERAPY.COM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JACOBSON (OWNER)
(815) 464-8210
Entity
Organization
Contact information
Practice address
20635 ABBEY WOODS CT N, FRANKFORT, IL 60423-3181
(815) 464-8210
Mailing address
20635 ABBEY WOODS CT N, FRANKFORT, IL 60423-3181
(815) 464-8210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902918683
INSURANCE
IL
Enumeration date
03/18/2020
Last updated
03/18/2020
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