Collaborative Roots Counseling, LLC

NPI #1972270080 in Volo, Illinois

Provider Information

NPI Number: 1972270080
Entity Type: Organization
Organization Name: Collaborative Roots Counseling, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Aug 26, 2021
Last Updated: Aug 26, 2021

Practice Location

Address: 413 BEDFORD LN
City: Volo
State: Illinois
ZIP Code: 60073-8182
Phone: (847) 504-9382

Authorized Official

Name: ELIZABETH KIENZLE, MA, LCPC, NCC
Title: OWNER/CLINICAL DIRECTOR
Phone: (847) 920-8882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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