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Organization
LIFECARE COUNSELING, LTD
Active
Organization
LIFECARE COUNSELING, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY LYNNE SHRAKE M.S., L.C.P.C., NCC (CLINICAL DIRECTOR)
(630) 984-4896
Entity
Organization
Contact information
Practice address
460 N MAIN ST, STE 202, GLEN ELLYN, IL 60137-5176
(630) 984-4896
(630) 545-3630
Mailing address
460 N MAIN ST, STE 202, GLEN ELLYN, IL 60137-5176
(630) 984-4896
(630) 545-3630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180006762
IL
1835P1200X
Pharmacotherapy Pharmacist
051.034790
IL
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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