Living Roots Counseling INC
NPI #1144974718 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1144974718
- Entity Type
- Organization
- Organization Name
- Living Roots Counseling INC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Feb 11, 2022
- Last Updated
- Feb 16, 2022
Practice Location
- Address
- 488 N MAIN ST STE 2N
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-5126
- Phone
- (865) 378-5205
Authorized Official
- Name
- STEPHANIE MARQUART, LCPC
- Title
- OWNER
- Phone
- (239) 281-1469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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