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Organization
KIMBERLY M ROTHWELL
Active
Organization
KIMBERLY M ROTHWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ROTHWELL M.A. BC-DMT, LCPC (DANCE/MOVEMENT THERAPIST)
(312) 968-3154
Entity
Organization
Contact information
Practice address
460 N MAIN ST, SUITE 302, GLEN ELLYN, IL 60137-5176
(312) 968-3154
Mailing address
838 HILL AVE, GLEN ELLYN, IL 60137-5207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
28374
—
101YP2500X
Professional Counselor
Primary
180.007496
IL
Other
Enumeration date
10/15/2013
Last updated
02/07/2017
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