| Lifecare Counseling, Ltd | |
|
460 N Main St Ste 202 Glen Ellyn IL 60137-5176 | |
| (630) 984-4896 | |
| (630) 545-3630 |
| Full Name | Lifecare Counseling, Ltd |
|---|---|
| Speciality | Counselor - Professional |
| Location | 460 N Main St, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Holly Lynne Shrake (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6309844896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecare Counseling, Ltd 460 N Main St Ste 202 Glen Ellyn IL 60137-5176 Ph: (630) 984-4896 | Lifecare Counseling, Ltd 460 N Main St Ste 202 Glen Ellyn IL 60137-5176 Ph: (630) 984-4896 |
| NPI Number | 1710206644 |
|---|---|
| Provider Enumeration Date | 05/17/2010 |
| Last Update Date | 05/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710206644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180006762 (Illinois) | Primary |
| 1835P1200X | Pharmacist - Pharmacotherapy | 051.034790 (Illinois) | Secondary |
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