institution
Patricia A. Roosevelt Llc
Professional Counselor in Columbia, Illinois
NPI 1891288478

Patricia A. Roosevelt Llc is a Professional Counselor based in Waterloo, IL and is specialized in Professional. Patricia A. Roosevelt Llc practices in Columbia, IL. The NPI Number for Patricia A. Roosevelt Llc is 1891288478 and holds a License No. 180.011395 (Illinois).

The current practice location address for Patricia A. Roosevelt Llc is 101 Mccrosky Professional Park, Columbia, IL and can be reached out via phone at 618-977-0734.

Location: 101 Mccrosky Professional Park, Columbia, IL, 62298-3712
institution
Provider Profile Details
NPI Number
1891288478
Provider Name
Patricia A. Roosevelt Llc
Credential
Provider Entity Type
Organization
Address
101 Mccrosky Professional Park, Columbia, IL, 62298-3712
Phone Number
618-977-0734
Fax Number
Provider Enumeration Date
06/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Mccrosky Professional Park
City
State
Zip
62236-2471
Phone Number
618-977-0734
Fax Number
person
Provider Business Mailing Address Details
Address
101 Mccrosky Professional Park
City
State
Zip
62236-2471
Phone Number
618-977-0734
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.011395 (Illinois)
Definition
Definition to come...
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