Organization
HEART SOURCE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALE NIENHUIS LCPC (OWNER)
(708) 837-3319
Entity
Organization
Contact information
Practice address
33 E COLORADO AVE, FRANKFORT, IL 60423-1385
(708) 837-3319
(630) 262-3383
Mailing address
33 E COLORADO AVE, FRANKFORT, IL 60423-1385
(708) 837-3319
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
149014484
IL
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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