Blazing Trails Counseling, Pllc
NPI #1770101784 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1770101784
- Entity Type
- Organization
- Organization Name
- Blazing Trails Counseling, Pllc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 7, 2020
- Last Updated
- Jul 27, 2020
Practice Location
- Address
- 15941 HARLEM AVE # 140
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-1609
- Phone
- (779) 435-4271
Authorized Official
- Name
- DEANNA L STACY, MA, LCPC, NCC
- Title
- OWNER/THERAPIST
- Phone
- (779) 435-4271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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