Provider Demographics
NPI:1487331872
Name:CJC THERAPEUTIC CENTER, PLLC
Entity type:Organization
Organization Name:CJC THERAPEUTIC CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, CADC
Authorized Official - Phone:630-343-4009
Mailing Address - Street 1:134 W LAKE ST STE 100-10
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1003
Mailing Address - Country:US
Mailing Address - Phone:630-343-4009
Mailing Address - Fax:630-480-6809
Practice Address - Street 1:134 W LAKE ST STE 100-10
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1003
Practice Address - Country:US
Practice Address - Phone:630-343-4009
Practice Address - Fax:630-480-6809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty