Organization Name: | ALLIANCE COUNSELING & COACHING |
NPI Number: | 1447558291 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARYANN COOK (CEO) |
Mailing Address: | 23157 S Thomas Dillon Dr Channahon |
State: | IL US |
Postal Code: | 604103132 |
Phone Number: | 8154678181 |
Fax Number: | 8158285696 |
NPI Enumeration Date: | 03/03/2011 |
NPI Last Update Date: | 03/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180006876 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |