Individual
GEORGE WYNSLOW LIEBERT-HERETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1590 WEATHERSTONE LN UNIT SE, ELGIN, IL 60123-2059
(312) 927-2373
Mailing address
1135 E ALGONQUIN RD, DES PLAINES, IL 60016-6305
(312) 927-2373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011960
IL
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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