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Organization
NICOLE LARUCCI, LTD
Active
Organization
NICOLE LARUCCI, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LARUCCI MA LCPC (OWNER/PROVIDER)
(630) 338-3696
Entity
Organization
Contact information
Practice address
1301 PYOTT RD STE 201E, LAKE IN THE HILLS, IL 60156-9797
(224) 703-6504
(224) 678-9652
Mailing address
208 S EMERALD DR, MCHENRY, IL 60051-3309
(630) 338-3696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.008684
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
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Other
Enumeration date
09/21/2017
Last updated
04/21/2023
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