person
Mr. Richard S Atwater, LCPC
Mental Health Counselor in Crystal Lake, Illinois
NPI 1104012731

Richard S Atwater is a Mental Health Counselor based in Crystal Lake, IL and is specialized in Mental Health. Richard S Atwater practices in Crystal Lake, IL and has the professional credentials of LCPC. The NPI Number for Richard S Atwater is 1104012731 and holds a License No. (Illinois).

The current practice location address for Richard S Atwater is 101 N Virginia St, Crystal Lake, IL and can be reached out via phone at 815-459-0499 and via fax at 815-788-0115. You can also correspond with Richard S Atwater through the mailing address at 101 N VIRGINIA ST, CRYSTAL LAKE, IL - 60014-3426 (mailing address contact number: 815-459-0499).

Location: 101 N Virginia St, Crystal Lake, IL, 60014-3426
person
Provider Profile Details
NPI Number
1104012731
Provider Name
Richard S Atwater
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
101 N Virginia St, Crystal Lake, IL, 60014-3426
Phone Number
815-459-0499
Fax Number
815-788-0115
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1558478479 01 IL EMPLOYERS NPI
institution
Provider Business Practice Location Address Details
Address
101 N Virginia St
City
State
Zip
60014-3426
Phone Number
815-459-0499
Fax Number
815-788-0115
person
Provider Business Mailing Address Details
Address
101 N Virginia St
City
State
Zip
60014-3426
Phone Number
815-459-0499
Fax Number
815-788-0115
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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