Provider Demographics
NPI:1144777863
Name:BRIONES COUNSELING SERVICES
Entity Type:Organization
Organization Name:BRIONES COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BRIONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-251-5103
Mailing Address - Street 1:850 E DUPONT RD
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450-8338
Mailing Address - Country:US
Mailing Address - Phone:630-251-5103
Mailing Address - Fax:630-946-6566
Practice Address - Street 1:1220 IROQUOIS AVE STE 204A
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8574
Practice Address - Country:US
Practice Address - Phone:630-251-5103
Practice Address - Fax:630-946-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-10
Last Update Date:2016-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL18009424101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty