Organization · Type 2 NPI
Fully Alive Counseling PLLC
Professional Counselor · Olney, IL
NPI number
1245043678
Active
Practice location
801 S West St Ste 107
Olney, IL 62450-1334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1245043678
Fully Alive Counseling PLLC's National Provider Identifier is 1245043678, issued on Jan 29, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Olney, IL. The record was last updated on Feb 12, 2025.