Wellformed AI

NPI 1740565126 · live from the CMS NPI Registry

Affiliates In Counseling LLC

Social Worker, Clinical in Northbrook, IL. National Provider Identifier 1740565126, active.

NPI record

NPI1740565126 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location910 Skokie Blvd, Suite 215, Northbrook, IL 60062
Practice phone847-480-0300
EnumeratedOctober 17, 2011
Last updatedOctober 17, 2011
Authorized officialJason Price, Partner
Other namesThe Center For Divorce Recovery

Taxonomies and licenses

TaxonomyCodeLicense
Marriage & Family Therapist106H00000X166000576 (IL)
Social Worker, Clinical primary1041C0700X149012969 (IL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.