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Organization
NORTHWEST THERAPY GROUP, INC.
Active
Organization
NORTHWEST THERAPY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS AGUILAR LCPC, CADC (OWNER)
(847) 508-6399
Entity
Organization
Contact information
Practice address
118 S MAIN ST STE 5, WAUCONDA, IL 60084-1859
(847) 508-6399
Mailing address
28038 W HOMESTEAD CT, LAKEMOOR, IL 60051-6662
(847) 508-6399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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