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Organization
YOUR FAMILY WELLNESS VILLAGE PLLC
Active
Organization
YOUR FAMILY WELLNESS VILLAGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRIAM LECLERC SANCHEZ LCPC (OWNER)
(630) 478-0707
Entity
Organization
Contact information
Practice address
800 ROOSEVELT RD STE E220, GLEN ELLYN, IL 60137-5868
(630) 478-0707
(630) 381-0905
Mailing address
800 ROOSEVELT RD STE E220, GLEN ELLYN, IL 60137-5868
(630) 478-0707
(630) 381-0905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/04/2019
Last updated
08/15/2024
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