Bliss Practice LLC

NPI #1093122426 in Saint Charles, Illinois

Provider Information

NPI Number: 1093122426
Entity Type: Organization
Organization Name: Bliss Practice LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 17, 2014
Last Updated: Jul 17, 2014

Practice Location

Address: 16 N RIVERSIDE AVE
City: Saint Charles
State: Illinois
ZIP Code: 60174-1967
Phone: (630) 377-7171

Authorized Official

Name: MARI WITTUM, LCPC, MSCP
Title: PSYCHOTHERAPIST
Phone: (630) 377-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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