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Organization
PHOENIX COUNSELING AND RECOVERY LLC
Active
Organization
PHOENIX COUNSELING AND RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SCOTT ZAJKOWSKI LCPC, CADC (MENTAL HEALTH THERAPIST)
(815) 517-7006
Entity
Organization
Contact information
Practice address
7949 BRIXHAM RD, ROCKFORD, IL 61107-2835
(815) 517-7006
Mailing address
7949 BRIXHAM RD, ROCKFORD, IL 61107-2835
(815) 517-7006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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