| Organization Name: | ABC COUNSELING PC |
| NPI Number: | 1407112576 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID RICHARD MITCHELL (PRESIDENT) |
| Mailing Address: | 25283 W Timber Ln Lake Villa |
| State: | IL US |
| Postal Code: | 600467372 |
| Phone Number: | 8475872222 |
| Fax Number: | 8475877656 |
| NPI Enumeration Date: | 04/03/2012 |
| NPI Last Update Date: | 04/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 060-006208 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |