institution
Revival Therapy Inc
Professional Counselor in Crystal Lake, Illinois
NPI 1376150896

Revival Therapy Inc is a Professional Counselor based in Crystal Lake, IL and is specialized in Professional. Revival Therapy Inc practices in Crystal Lake, IL. The NPI Number for Revival Therapy Inc is 1376150896 and holds a License No. (Illinois).

The current practice location address for Revival Therapy Inc is 330 W Terra Cotta Ave Ste 4, Crystal Lake, IL and can be reached out via phone at 815-382-9691. You can also correspond with Revival Therapy Inc through the mailing address at 42 EAST ST, CRYSTAL LAKE, IL - 60014-4400 (mailing address contact number: 815-382-9691).

Location: 330 W Terra Cotta Ave Ste 4, Crystal Lake, IL, 60014-4400
institution
Provider Profile Details
NPI Number
1376150896
Provider Name
Revival Therapy Inc
Credential
Provider Entity Type
Organization
Address
330 W Terra Cotta Ave Ste 4, Crystal Lake, IL, 60014-4400
Phone Number
815-382-9691
Fax Number
Provider Enumeration Date
09/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
330 W Terra Cotta Ave Ste 4
City
State
Zip
60014-3552
Phone Number
815-382-9691
Fax Number
person
Provider Business Mailing Address Details
Address
330 W Terra Cotta Ave Ste 4
City
State
Zip
60014-3552
Phone Number
815-382-9691
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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