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Organization
THE RENFREW CENTER OF ILLINOIS
Active
Organization
THE RENFREW CENTER OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MARTIN LPC (PRIMARY THERAPIST)
(847) 291-6805
Entity
Organization
Contact information
Practice address
5 REVERE DR, SUITE 100, NORTHBROOK, IL 60062
(847) 291-6805
(847) 291-6815
Mailing address
5 REVERE DR STE 100, NORTHBROOK, IL 60062-1567
(847) 291-6805
(847) 291-6815
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.012613
IL
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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