Organization
LIGHTRISE FAMILY CHRISTIAN COUNSELING
Active
Other names
LightRise Family Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MADISON C BERESFORD MIN., B.C.M.F. (NCCA LICENSED PASTORAL COUNSELOR)
(224) 286-4673
Entity
Organization
Contact information
Practice address
265 EXCHANGE DR, SUITE 105, CRYSTAL LAKE, IL 60014-6230
(224) 286-4673
Mailing address
265 EXCHANGE DR, SUITE 105, CRYSTAL LAKE, IL 60014-6230
(224) 286-4673
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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