Margo D Bristow, MA, LPC, CADC, PCGC,
Counselor in Downers Grove, IL. Individual provider (NPI-1).
NPI number1669935276
StatusActive
Last updated in NPPESApr 10, 2019
Details
- NPI
- 1669935276
- Entity type
- Individual (NPI-1)
- Name
- Margo D Bristow
- Credential
- MA, LPC, CADC, PCGC,
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2019
- Last updated
- Apr 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 178.004883 | IL | Yes |
Practice location
6912 Main St Ste 26Downers Grove, IL 60516-3447
Phone 847-791-1651 · Fax 855-791-1651
Mailing address
1142 Chicago Ave Ste 2wOak Park, IL 60302-1837
Phone 847-791-1651 · Fax 855-791-1651
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