| Olive Branch Counseling Associates, Inc. | |
|
6819 167th St Tinley Park IL 60477-2501 | |
| (708) 633-8000 | |
| Not Available |
| Full Name | Olive Branch Counseling Associates, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6819 167th St, Tinley Park, Illinois |
| Authorized Official Name and Position | Louella B. Devries (PRESIDENT, LCPC, MA) |
| Authorized Official Contact | 7086338000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Counseling Associates, Inc. 6819 167th St Tinley Park IL 60477-2501 Ph: (708) 633-8000 | Olive Branch Counseling Associates, Inc. 6819 167th St Tinley Park IL 60477-2501 Ph: (708) 633-8000 |
| NPI Number | 1255867602 |
|---|---|
| Provider Enumeration Date | 05/04/2017 |
| Last Update Date | 05/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255867602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178.012644 (Illinois) | Primary |
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