Organization
RESTORATIVE HEALING COUNSELING & PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE N. LIS MSW, LCSW (LICENSED CLINICAL SOCIAL WORKER)
(847) 942-4920
Entity
Organization
Contact information
Practice address
108 S WYNSTONE PARK DR, NORTH BARRINGTON, IL 60010-6923
(847) 942-4920
Mailing address
108 S WYNSTONE PARK DR, NORTH BARRINGTON, IL 60010-6923
(847) 942-4920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149012224
IL
Other
Enumeration date
03/08/2016
Last updated
04/26/2016
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