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Organization
CHILD AND FAMILY THERAPY CENTER
Active
Organization
CHILD AND FAMILY THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA RODRIGUEZ MS LCPC (PROFESSIONAL COUNSELOR)
(815) 302-8233
Entity
Organization
Contact information
Practice address
25552 W GATEWAY CIR, PLAINFIELD, IL 60585-7635
(815) 302-8233
Mailing address
25552 W GATEWAY CIR, PLAINFIELD, IL 60585-7635
(815) 302-8233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.009306
IL
Other
Enumeration date
09/21/2016
Last updated
09/27/2016
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