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Samantha Rae Boone
Professional Counselor in Oak Brook, Illinois
NPI 1720758972

Samantha Rae Boone is a Professional Counselor based in Carol Stream, IL and is specialized in Professional. Samantha Rae Boone practices in Oak Brook, IL. The NPI Number for Samantha Rae Boone is 1720758972 and holds a License No. 208.000921 (Illinois).

The current practice location address for Samantha Rae Boone is 1000 Jorie Blvd, Oak Brook, IL and can be reached out via phone at 630-560-1100.

Location: 1000 Jorie Blvd, Oak Brook, IL, 60188-3407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720758972
Provider Name
Samantha Rae Boone
Credential
Provider Entity Type
Individual
Gender
Female
Address
1000 Jorie Blvd, Oak Brook, IL, 60188-3407
Phone Number
630-560-1100
Fax Number
Provider Enumeration Date
09/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Jorie Blvd
City
Oak Brook
State
Illinois
Zip
60523-2214
Phone Number
630-560-1100
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Jorie Blvd
City
Oak Brook
State
Illinois
Zip
60523-2214
Phone Number
630-560-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
208.000921 (Illinois)
Definition
Definition to come...
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