Organization · Type 2 NPI

Center for Self-Actualization

Professional Counselor · Evergreen Park, IL

NPI number 1922423508 Active

Practice location

3317 W 95th St, Suite 101
Evergreen Park, IL 60805-2243

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X180008956 (IL)
Professional Counselor Primary 101YP2500X180008083 (IL)

Professional Counselor: Definition to come...

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About NPI 1922423508

Center for Self-Actualization's National Provider Identifier is 1922423508, issued on Feb 19, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evergreen Park, IL. The record was last updated on Feb 19, 2014.