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Organization
ROOTED LIFE COUNSELING PLLC
Active
Organization
ROOTED LIFE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANCIE LEVESQUE (CO-OWNER)
(815) 981-2254
Entity
Organization
Contact information
Practice address
2501 CHATHAM RD STE 5038, SPRINGFIELD, IL 62704-4188
(815) 435-0932
Mailing address
2501 CHATHAM RD STE 5038, SPRINGFIELD, IL 62704-4188
(815) 435-0932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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