Organization
AUTUMN LEAF COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORIE MIKLOS (COUNSELOR)
(630) 346-6713
Entity
Organization
Contact information
Practice address
943 MAPLE AVE, DOWNERS GROVE, IL 60515-4973
(630) 346-6713
Mailing address
943 MAPLE AVE, DOWNERS GROVE, IL 60515-4973
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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