| Intentional Fulfillment Counseling L.l.c. | |
|
429 N Weber Rd # 405 Romeoville IL 60446-3902 | |
| (779) 242-9571 | |
| Not Available |
| Full Name | Intentional Fulfillment Counseling L.l.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 429 N Weber Rd # 405, Romeoville, Illinois |
| Authorized Official Name and Position | Marissa Mitchell (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7792429571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Fulfillment Counseling L.l.c. 429 N Weber Rd # 405 Romeoville IL 60446-3902 Ph: (779) 242-9571 | Intentional Fulfillment Counseling L.l.c. 429 N Weber Rd # 405 Romeoville IL 60446-3902 Ph: (779) 242-9571 |
| NPI Number | 1134715238 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134715238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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