360 Youth Services
Organization Active NPI Professional Counselor · Naperville, IL
NPI 1336690239 · NPPES record last updated Oct 17, 2016
Key facts
- NPI
- 1336690239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180010400 (IL)
- Legal business name
- 360 YOUTH SERVICES
- Practice address
- 1548 Bond St Ste 114
Naperville, IL 60563-6509 - Phone
- (630) 717-9408
- Fax
- (630) 596-8496
- NPI assigned
- Oct 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jessica Kujawa
- Title
- Biller
- Phone
- (630) 541-7219
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- 360 Youth Services
Locations
1548 Bond St
Ste 114
Naperville, IL 60563
Phone 6307179408 ext. 1137
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 180010400 | IL | Yes |
Addresses
Primary practice location
1548 Bond St Ste 114
Naperville, IL 60563-6509
Mailing address
1548 Bond St Ste 114
Naperville, IL 60563-6509
Phone (630) 717-9408
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- 21 Reflections Prof. Corp
- 360 Youth Services
- 360 Youth Services
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- A Dynamics of Illinois LLC
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All providers in Naperville, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.