Organization
NEW LEAF COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN MICHAEL BORNSCHLEGL LCPC, CADC, CCJP (OWNER/COUNSELOR)
(847) 391-4180
Entity
Organization
Contact information
Practice address
1460 RENAISSANCE DR, SUITE 211, PARK RIDGE, IL 60068-1331
(847) 391-4180
(847) 391-4188
Mailing address
1460 RENAISSANCE DR, SUITE 211, PARK RIDGE, IL 60068-1331
(847) 391-4180
(847) 391-4188
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A-6791-0001-A
IL
Other
Enumeration date
02/14/2009
Last updated
02/14/2009
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