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Organization
LIVING WATERS COUNSELING AND CONSULTING SERVICES NFP
Active
Organization
LIVING WATERS COUNSELING AND CONSULTING SERVICES NFP
Active
Other names
Living Waters Counseling and Consulting Services, Living Waters Counseling and Consulting Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE LEE LCSW, CADC (CHIEF EXECUTIVE OFFICER)
(708) 271-5370
Entity
Organization
Contact information
Practice address
4550 W 103RD ST STE 302B, OAK LAWN, IL 60453-4868
(773) 280-5675
(773) 873-5333
Mailing address
8157 S ELIZABETH ST, CHICAGO, IL 60620-3857
(708) 271-5370
(773) 873-5333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326549937001
—
IL
Enumeration date
10/22/2020
Last updated
03/13/2024
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