| Organization Name: | TAKING CONTROL PROFESSIONAL CORPORATION |
| NPI Number: | 1285005611 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES JORGENSON (PRESIDENT) |
| Mailing Address: | 106 S Lincolnway Ste F North Aurora |
| State: | IL US |
| Postal Code: | 605421597 |
| Phone Number: | 6308011669 |
| Fax Number: | 6308011675 |
| NPI Enumeration Date: | 10/12/2015 |
| NPI Last Update Date: | 10/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180.003228 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |