Game Plan Therapy, LLC
Social Worker, Clinical in Kankakee, IL. Organization (NPI-2).
NPI number1013790708
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1013790708
- Entity type
- Organization (NPI-2)
- Legal business name
- Game Plan Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2212 W Grace StKankakee, IL 60901-4591
Phone 815-662-5404
Mailing address
2212 W Grace StKankakee, IL 60901-4591
Phone 815-662-5404
Authorized official
Suzette Jacob
Owner/Social Worker
8156625404
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