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Organization
STILLWATER COUNSELING AND COACHING LLC
Active
Organization
STILLWATER COUNSELING AND COACHING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BURBACK LCPC (PARTNER)
(630) 880-8903
Entity
Organization
Contact information
Practice address
6912 MAIN ST STE 123, DOWNERS GROVE, IL 60516-3440
(630) 880-8903
Mailing address
310 MARIA CT, MINOOKA, IL 60447-9359
(630) 880-8903
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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