Northwestern Lake Counseling

NPI #1043510621 in Fox Lake, Illinois

Provider Information

NPI Number
1043510621
Entity Type
Organization
Organization Name
Northwestern Lake Counseling
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Oct 28, 2010
Last Updated
Nov 1, 2010

Practice Location

Address
17 WEST GRAND AVE.
ZIP Code
60020
Phone
(847) 587-8400

Authorized Official

Name
MS. DARLENE LETA KRIEGER, RNCADCCRSS
Title
OWNER/DIRECTOR
Phone
(847) 587-8400

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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