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Organization
PROFOUND ROOTS THERAPY SERVICES
Active
Organization
PROFOUND ROOTS THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELICIA BUTLER (OWNER)
(847) 565-1084
Entity
Organization
Contact information
Practice address
609 LISA ROAD, WEST DUNDEE, IL 60118
(847) 565-1084
(847) 787-1746
Mailing address
244 S RANDALL RD STE 1134, ELGIN, IL 60123-5529
(847) 565-1084
(847) 787-1746
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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