| Northern Light Counseling & Consultation Llc | |
|
18700 Wolf Rd Ste 245 Mokena IL 60448-8603 | |
| (708) 692-8462 | |
| Not Available |
| Full Name | Northern Light Counseling & Consultation Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 18700 Wolf Rd Ste 245, Mokena, Illinois |
| Authorized Official Name and Position | Tina M Rago (THERAPIST/OWNER) |
| Authorized Official Contact | 7086928462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Light Counseling & Consultation Llc 18700 Wolf Rd Ste 245 Mokena IL 60448-8603 Ph: (708) 692-8462 | Northern Light Counseling & Consultation Llc 18700 Wolf Rd Ste 245 Mokena IL 60448-8603 Ph: (708) 692-8462 |
| NPI Number | 1588148795 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 09/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588148795 | NPI | - | NPPES |
| 1922425222 | Other | IL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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