Provider Demographics
NPI:1417264698
Name:THURSTON & ASSOCIATES
Entity Type:Organization
Organization Name:THURSTON & ASSOCIATES
Other - Org Name:NORTH SUBURBAN COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:THURSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC
Authorized Official - Phone:847-548-0492
Mailing Address - Street 1:1170 E BELVIDERE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-2061
Mailing Address - Country:US
Mailing Address - Phone:847-548-0492
Mailing Address - Fax:847-548-0537
Practice Address - Street 1:1170 E BELVIDERE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2061
Practice Address - Country:US
Practice Address - Phone:847-548-0492
Practice Address - Fax:847-548-0537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty