person
Rose Mathew Puthenpurackal, LSW
Mental Health Counselor in Addison, Illinois
NPI 1457133175

Rose Mathew Puthenpurackal is a Mental Health Counselor based in Elmhurst, IL and is specialized in Mental Health. Rose Mathew Puthenpurackal practices in Addison, IL and has the professional credentials of LSW. The NPI Number for Rose Mathew Puthenpurackal is 1457133175 and holds a License No. 150.110730 (Illinois).

The current practice location address for Rose Mathew Puthenpurackal is 211 E Lake St, Addison, IL and can be reached out via phone at 630-446-6802.

Location: 211 E Lake St, Addison, IL, 60126-4719
person
Provider Profile Details
NPI Number
1457133175
Provider Name
Rose Mathew Puthenpurackal
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
211 E Lake St, Addison, IL, 60126-4719
Phone Number
630-446-6802
Fax Number
Provider Enumeration Date
10/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
211 E Lake St
City
State
Zip
60101-2886
Phone Number
630-446-6802
Fax Number
person
Provider Business Mailing Address Details
Address
211 E Lake St
City
State
Zip
60101-2886
Phone Number
630-446-6802
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
150.110730 (Illinois)
Definition
Definition to come...
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