Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 178009302 | IL |
N | 101YS0200X | School Counselor | 790864 | IL |
NPI | 1053902619 |
---|---|
Provider Name | Corinne Joy Morgan |
First Address | Tinley Park, IL 60487-2204 |
Second Address | Naperville, IL 60563-4808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2021 |
Last Update Date | 27/01/2021 |