Evergreen Counseling LLC

NPI #1831681600 in Wheaton, Illinois

Provider Information

NPI Number: 1831681600
Entity Type: Organization
Organization Name: Evergreen Counseling LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 6, 2018
Last Updated: May 2, 2019

Practice Location

Address: 2100 MANCHESTER RD STE 602
City: Wheaton
State: Illinois
ZIP Code: 60187-4587
Phone: (213) 222-5079

Authorized Official

Name: NATASHA KNOFF, LMFT
Title: PRACTICE MANAGER
Phone: (213) 222-5079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Marriage & Family Therapist	106H00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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