| Northlight Counseling, Llc | |
|
4180 Route 83 Suite #10 Long Grove IL 60047 | |
| (847) 962-5234 | |
| Not Available |
| Full Name | Northlight Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4180 Route 83, Long Grove, Illinois |
| Authorized Official Name and Position | Jaril Faith Gallup (OWNER/SOLE PROPRIETOR) |
| Authorized Official Contact | 8479625234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northlight Counseling, Llc 4180 Route 83 Suite #10 Long Grove IL 60047 Ph: (847) 962-5234 | Northlight Counseling, Llc 4180 Route 83 Suite #10 Long Grove IL 60047 Ph: (847) 962-5234 |
| NPI Number | 1922234822 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 06/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922234822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149-008819 (Illinois) | Primary |
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