person
Mrs. Roberta Shirley Gruntorad Vondrak, LCPCCADC
Professional Counselor in Plainfield, Illinois
NPI 1184731341

Roberta Shirley Gruntorad Vondrak is a Professional Counselor based in Plainfield, IL and is specialized in Professional. Roberta Shirley Gruntorad Vondrak practices in Plainfield, IL and has the professional credentials of LCPCCADC. The NPI Number for Roberta Shirley Gruntorad Vondrak is 1184731341 and holds a License No. 20287 (Illinois).

The current practice location address for Roberta Shirley Gruntorad Vondrak is 13300 S Rte 59, Plainfield, IL and can be reached out via phone at 815-577-8970 and via fax at 815-577-8988.

Location: 13300 S Rte 59, Plainfield, IL, 60585
person
Provider Profile Details
NPI Number
1184731341
Provider Name
Roberta Shirley Gruntorad Vondrak
Credential
LCPCCADC
Provider Entity Type
Individual
Gender
Female
Address
13300 S Rte 59, Plainfield, IL, 60585
Phone Number
815-577-8970
Fax Number
815-577-8988
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09932324 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
13300 S Rte 59
City
State
Zip
60585
Phone Number
815-577-8970
Fax Number
815-577-8988
person
Provider Business Mailing Address Details
Address
13300 S Rte 59
City
State
Zip
60585
Phone Number
815-577-8970
Fax Number
815-577-8988
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
20287 (Illinois)
Definition
Definition to come...
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