Individual
ANGEL ROXX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N COUNTY FARM RD, WHEATON, IL 60187-3977
(630) 682-7400
Mailing address
111 N COUNTY FARM RD, WHEATON, IL 60187-3977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R200-0008-7721
IL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/17/2019
Last updated
06/18/2019
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