Jab Counseling And Consulting Services, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Olympia Fields, IL. Organization (NPI-2).
NPI number1184468621
StatusActive
Last updated in NPPESJun 20, 2024
Details
- NPI
- 1184468621
- Entity type
- Organization (NPI-2)
- Legal business name
- Jab Counseling And Consulting Services, LLC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2024
- Certification date
- Jun 20, 2024
- Last updated
- Jun 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
20542 Parthenon WayOlympia Fields, IL 60461-1333
Phone 708-359-6589
Mailing address
20542 Parthenon WayOlympia Fields, IL 60461-1333
Phone 708-359-6589
Authorized official
Jonathan Brown
Owner
7083596589
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