Real Change Therapy LLC

NPI #1164180923 in Mokena, Illinois

Provider Information

NPI Number: 1164180923
Entity Type: Organization
Organization Name: Real Change Therapy LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 29, 2021
Last Updated: Nov 29, 2021

Practice Location

Address: 11225 FRONT ST
City: Mokena
State: Illinois
ZIP Code: 60448-1303
Phone: (815) 483-4460

Authorized Official

Name: ANNA ASHUM
Title: OWNER
Phone: (815) 483-4460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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