person
Rodrigo Manjarres, MA
Mental Health Counselor in Waukegan, Illinois
NPI 1376563916

Rodrigo Manjarres is a Mental Health Counselor based in Gurnee, IL and is specialized in Mental Health. Rodrigo Manjarres practices in Waukegan, IL and has the professional credentials of MA. The NPI Number for Rodrigo Manjarres is 1376563916 and holds a License No. 5176 (Illinois).

The current practice location address for Rodrigo Manjarres is 3012 Grand Ave, Waukegan, IL and can be reached out via phone at 847-546-0080 and via fax at 847-546-0083.

Location: 3012 Grand Ave, Waukegan, IL, 60031-3393
person
Provider Profile Details
NPI Number
1376563916
Provider Name
Rodrigo Manjarres
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
3012 Grand Ave, Waukegan, IL, 60031-3393
Phone Number
847-546-0080
Fax Number
847-546-0083
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8008517498 01 IL BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
3012 Grand Ave
City
State
Zip
60085-2321
Phone Number
847-546-0080
Fax Number
847-546-0083
person
Provider Business Mailing Address Details
Address
3012 Grand Ave
City
State
Zip
60085-2321
Phone Number
847-546-0080
Fax Number
847-546-0083
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
Mental Health
Taxonomy
License No.
5176 (Illinois)
Definition
Definition to come...
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