NPI 1003340779 · live from the CMS NPI Registry
Aspire Counseling Consulting And Creative Solutions
Marriage & Family Therapist in Gurnee, IL. National Provider Identifier 1003340779, active.
NPI record
| NPI | 1003340779 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 501 N Riverside Dr, 111, Gurnee, IL 60031 |
| Practice phone | 847-946-5105 |
| Enumerated | April 19, 2017 |
| Last updated | April 19, 2017 |
| Authorized official | Jasmine Tudy, Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | 180.010922 (IL) |
| Marriage & Family Therapist primary | 106H00000X | 166.000785 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.