Fireside Counseling LLC

NPI #1508258732 in Wheaton, Illinois

Provider Information

NPI Number: 1508258732
Entity Type: Organization
Organization Name: Fireside Counseling LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 25, 2015
Last Updated: Feb 25, 2015

Practice Location

Address: 101 1/2 E FRONT ST
Address 2: SUITE 106
City: Wheaton
State: Illinois
ZIP Code: 60187-5334
Phone: (630) 239-7227

Authorized Official

Name: MR. MARK L RAMIREZ, MA, LCPC, LMFT
Title: SR. STAFF THERAPIST
Phone: (630) 239-7227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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