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Organization
PROACTIVE BEHAVIORAL SERVICES
Active
Organization
PROACTIVE BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD RUSSELL LENDVAY PSYD (OWNER/PSYCHOLOGIST)
(847) 776-4500
Entity
Organization
Contact information
Practice address
215 N MAIN ST, ALGONQUIN, IL 60102-2448
(224) 678-9033
(224) 678-9493
Mailing address
26112 W INDIAN TRAIL RD, BARRINGTON, IL 60010-1344
(847) 776-4500
(847) 776-4724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30204
IL
101YM0800X
Mental Health Counselor
Primary
178008534
IL
Other
Enumeration date
03/02/2013
Last updated
03/02/2013
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