Blue Island Counseling LLC
NPI #1740828284 in Blue Island, Illinois
Provider Information
- NPI Number
- 1740828284
- Entity Type
- Organization
- Organization Name
- Blue Island Counseling LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 16, 2019
- Last Updated
- Dec 16, 2019
Practice Location
- Address
- 2343 CANAL ST
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-2956
- Phone
- (708) 674-8735
Authorized Official
- Name
- JUSTIN CHRISTOPHER KOZAK, LCPC
- Title
- CEO
- Phone
- (708) 829-5673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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