Organization
SPARK COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TEWELL LCPC, CADC (OWNER)
(630) 446-0306
Entity
Organization
Contact information
Practice address
917 S MAIN ST, LOMBARD, IL 60148-3347
(630) 446-0306
(630) 601-2877
Mailing address
917 S MAIN ST, LOMBARD, IL 60148-3347
(630) 446-0306
(630) 601-2877
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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