Provider First Line Business Practice Location Address:
4212 OLD GRAND AVE. GURNEE COUNSELING
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
GURNEE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-336-5621
Provider Business Practice Location Address Fax Number:
847-336-2594
Provider Enumeration Date:
01/16/2012