| Collaborative Roots Counseling, Llc | |
|
413 Bedford Ln Volo IL 60073-8182 | |
| (847) 504-9382 | |
| Not Available |
| Full Name | Collaborative Roots Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 413 Bedford Ln, Volo, Illinois |
| Authorized Official Name and Position | Elizabeth Kienzle (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8479208882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Roots Counseling, Llc 413 Bedford Ln Volo IL 60073-8182 Ph: (847) 504-9382 | Collaborative Roots Counseling, Llc 413 Bedford Ln Volo IL 60073-8182 Ph: (847) 504-9382 |
| NPI Number | 1972270080 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/26/2021 |
| Certification Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972270080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Rdc Liberation, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Brahms Rd, Volo, IL 60073 Phone: 847-975-0742 |