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Roots & Wings Therapy Llc
Professional Counselor in Dixon, Illinois
NPI 1073160537

Roots & Wings Therapy Llc is a Professional Counselor based in Dixon, IL and is specialized in Professional. Roots & Wings Therapy Llc practices in Dixon, IL. The NPI Number for Roots & Wings Therapy Llc is 1073160537 and holds a License No. (Illinois).

The current practice location address for Roots & Wings Therapy Llc is 115 E 1St St Ste 120, Dixon, IL and can be reached out via phone at 773-930-0994.

Location: 115 E 1St St Ste 120, Dixon, IL, 61021-3023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073160537
Provider Name
Roots & Wings Therapy Llc
Credential
Provider Entity Type
Organization
Address
115 E 1St St Ste 120, Dixon, IL, 61021-3023
Phone Number
773-930-0994
Fax Number
Provider Enumeration Date
08/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1073963963 01 IL NPI
1992201479 01 IL NPI
1336792514 01 IL NPI
institution
Provider Business Practice Location Address Details
Address
115 E 1St St Ste 120
City
Dixon
State
Illinois
Zip
61021-3023
Phone Number
773-930-0994
Fax Number
person
Provider Business Mailing Address Details
Address
115 E 1St St Ste 120
City
Dixon
State
Illinois
Zip
61021-3023
Phone Number
773-930-0994
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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