Organization
SOUL FRIENDS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESMOND RAFTERY LCSW (PRESIDENT)
(630) 373-7149
Entity
Organization
Contact information
Practice address
1080 NERGE RD, ELK GROVE VILLAGE, IL 60007-3235
(630) 373-7149
Mailing address
787 PENRITH AVE, ELK GROVE VILLAGE, IL 60007-3612
(630) 373-7149
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149.008719
IL
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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