Organization
BE THE CHANGE COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MARIE BURRIS MA, LCPC (LCPC)
(708) 691-3663
Entity
Organization
Contact information
Practice address
136 CENTER ST, GRAYSLAKE, IL 60030
(708) 691-3663
Mailing address
1011 MACKENZIE DRIVE, ANTIOCH, IL 60002
(708) 691-3663
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
180007572
IL
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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