Organization
C G JUNG CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE M MILLER LCPC (BOARD MEMBER)
(847) 951-5388
Entity
Organization
Contact information
Practice address
817 DEMPSTER ST, EVANSTON, IL 60201-4303
(847) 475-4848
Mailing address
817 DEMPSTER ST, EVANSTON, IL 60201-4303
(847) 475-4848
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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