Be the Change Counseling Services PC

NPI #1932535382 in Grayslake, Illinois

Provider Information

NPI Number: 1932535382
Entity Type: Organization
Organization Name: Be the Change Counseling Services PC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 17, 2013
Last Updated: Sep 17, 2013

Practice Location

Address: 136 CENTER ST
City: Grayslake
State: Illinois
ZIP Code: 60030
Phone: (708) 691-3663

Authorized Official

Name: MRS. JENNIFER MARIE BURRIS, MA, LCPC
Title: LCPC
Phone: (708) 691-3663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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