Edwin Joseph Thullen, LCSW

NPI #1598288870 in New Lenox, Illinois

Provider Information

NPI Number
1598288870
Entity Type
Individual
Name
Edwin Joseph Thullen, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LCSW
Enumeration Date
Jul 19, 2017
Last Updated
Jul 19, 2017

Practice Location

Address
1938 E LINCOLN HWY UNIT 219
ZIP Code
60451-3860
Phone
(815) 320-3749

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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