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Organization
VITALITY COUNSELING
Active
Organization
VITALITY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA J BERGE LCPC (OWNER/COUNSELOR)
(847) 713-3993
Entity
Organization
Contact information
Practice address
1192 E ALGONQUIN RD, ALGONQUIN, IL 60102-3084
(847) 713-3993
(847) 713-3993
Mailing address
135 PARK AVE, LL4, BARRINGTON, IL 60010-4370
(847) 713-3993
(847) 713-3993
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009982
IL
Other
Enumeration date
02/15/2016
Last updated
06/13/2016
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