institution
Felice Block Ma Lcpc
Mental Health Clinic/Center (Including Community Mental Health Center) in Long Grove, Illinois
NPI 1104453869

Felice Block Ma Lcpc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Long Grove, IL and is specialized in Mental Health (Including Community Mental Health Center). Felice Block Ma Lcpc practices in Long Grove, IL. The NPI Number for Felice Block Ma Lcpc is 1104453869 and holds a License No. (Illinois).

The current practice location address for Felice Block Ma Lcpc is 4160 Il Route 83 Ste 206, Long Grove, IL and can be reached out via phone at 847-494-0482.

Location: 4160 Il Route 83 Ste 206, Long Grove, IL, 60047-8034
institution
Provider Profile Details
NPI Number
1104453869
Provider Name
Felice Block Ma Lcpc
Credential
Provider Entity Type
Organization
Address
4160 Il Route 83 Ste 206, Long Grove, IL, 60047-8034
Phone Number
847-494-0482
Fax Number
Provider Enumeration Date
03/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396806683 01 NPI 1
institution
Provider Business Practice Location Address Details
Address
4160 Il Route 83 Ste 206
City
State
Zip
60047-8034
Phone Number
847-494-0482
Fax Number
person
Provider Business Mailing Address Details
Address
4160 Il Route 83 Ste 206
City
State
Zip
60047-8034
Phone Number
847-494-0482
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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