Organization Name: | DREA RICHARDS COUNSELING, INC |
NPI Number: | 1407267131 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREA CHAITIN-RICHARDS (LCPC) |
Mailing Address: | 119 Stephen St Lemont |
State: | IL US |
Postal Code: | 604393660 |
Phone Number: | 7085869545 |
Fax Number: | 7082771722 |
NPI Enumeration Date: | 05/15/2014 |
NPI Last Update Date: | 05/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180004289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |