Organization
CHILD AND FAMILY THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA RODRIGUEZ MS LCPC (PROFESSIONAL COUNSELOR)
(815) 302-8233
Entity
Organization
Contact information
Practice address
25552 W GATEWAY CIR, PLAINFIELD, IL 60585-7635
(815) 302-8233
Mailing address
25552 W GATEWAY CIR, PLAINFIELD, IL 60585-7635
(815) 302-8233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.009306
IL
Other
Enumeration date
09/21/2016
Last updated
09/27/2016
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