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Organization
SAMARITAN COUNSELING CENTER OF THE NORTHWEST SUBURBS
Active
Organization
SAMARITAN COUNSELING CENTER OF THE NORTHWEST SUBURBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORA J WIENS PSY.D (LICENSED CLINICAL PROFESSIONAL COUN)
(847) 382-4673
Entity
Organization
Contact information
Practice address
800 HART RD, SUITE 250, BARRINGTON, IL 60010-2671
(847) 382-4673
Mailing address
800 HART RD, SUITE 250, BARRINGTON, IL 60010-2671
(847) 382-4673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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