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Dr. Madison Beresford
Mental Health Counselor in Crystal Lake, Illinois
NPI 1215392659

Madison Beresford is a Mental Health Counselor based in Crystal Lake, IL and is specialized in Mental Health. Madison Beresford practices in Crystal Lake, IL. The NPI Number for Madison Beresford is 1215392659 and holds a License No. (Illinois).

The current practice location address for Madison Beresford is 265 Exchange Dr, Crystal Lake, IL and can be reached out via phone at 224-286-4673.

Location: 265 Exchange Dr, Crystal Lake, IL, 60014-6230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215392659
Provider Name
Madison Beresford
Credential
Provider Entity Type
Individual
Gender
Male
Address
265 Exchange Dr, Crystal Lake, IL, 60014-6230
Phone Number
224-286-4673
Fax Number
Provider Enumeration Date
12/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
265 Exchange Dr
City
Crystal Lake
State
Illinois
Zip
60014-6230
Phone Number
224-286-4673
Fax Number
person
Provider Business Mailing Address Details
Address
265 Exchange Dr
City
Crystal Lake
State
Illinois
Zip
60014-6230
Phone Number
224-286-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
()
Definition
Definition to come...
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