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Organization
WATERBROOK COUNSELING SERVICES, P.C.
Active
Organization
WATERBROOK COUNSELING SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT PRESTON STANFORD L.C.P.C. (FOUNDER/PRESIDENT)
(773) 559-5958
Entity
Organization
Contact information
Practice address
407 S DEARBORN ST, 600C, CHICAGO, IL 60605-1136
(773) 559-5958
Mailing address
1649 W SHERWIN AVE APT 3, CHICAGO, IL 60626-1900
(773) 559-5958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008054
IL
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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