Individual
PENNY RENEE EVERHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
CROSSROADS COUNSELING SERVICE INC, 13550 ROUTE 30, SUITE 302, PLAINFIELD, IL 60544
(815) 941-3882
(815) 941-3884
Mailing address
2458 MONTCLAIR LANE, MONTGOMERY, IL 60538
(630) 486-9314
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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