Organization · Type 2 NPI
Evolve Therapeutic Center
Professional Counselor · Minooka, IL
NPI number
1508315920
Active
Practice location
304 W Mondamin St, Suite 104
Minooka, IL 60447-9096
Mailing address
PO Box 608
Minooka, IL 60447-0608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.008724 (IL) |
Professional Counselor: Definition to come...
4 other providers at this address
About NPI 1508315920
Evolve Therapeutic Center's National Provider Identifier is 1508315920, issued on Sep 27, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minooka, IL. The record was last updated on Sep 27, 2016.