| Living Roots Counseling Inc | |
|
488 N Main St Ste 2n Glen Ellyn IL 60137-5126 | |
| (865) 378-5205 | |
| Not Available |
| Full Name | Living Roots Counseling Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 488 N Main St Ste 2n, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Stephanie Marquart (OWNER) |
| Authorized Official Contact | 2392811469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Roots Counseling Inc 488 N Main St Ste 2n Glen Ellyn IL 60137-5126 Ph: (865) 378-5205 | Living Roots Counseling Inc 488 N Main St Ste 2n Glen Ellyn IL 60137-5126 Ph: (865) 378-5205 |
| NPI Number | 1144974718 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144974718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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