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REVIVE COUNSELING LLC 1255009783

Overview
Name: REVIVE COUNSELING LLC Specialty: Mental Health Clinic/Center (Including Community Mental Health Center) Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Mental Health (Including Community Mental Health Center). Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: REVIVE COUNSELING LLC,8052 MONTICELLO AVE UNIT 103,SKOKIE,IL,600763438,US Mailing Address: REVIVE COUNSELING LLC,4188 COVE LN APT C,GLENVIEW,IL,600253561,US
Contact #
Practice location phone #: 7736091758 Practice location fax #: Mailing address Phone #: Mailing Address fax #: Authorized official Name/Telephone #:GUADALUPE, MAYA-VESKOVIC, LCSW, FOUNDER 7736091758
Misc
Date NPI was obtained: 08/31/2021 Last data data was updated: 08/31/2021 Insurances:

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