Organization
NEW LEGENDS COUNSELING COACHING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN COX (BUSINESS MANAGER)
(630) 828-6303
Entity
Organization
Contact information
Practice address
115 CAMPBELL ST, SUITE 200A, GENEVA, IL 60134-2777
(630) 828-6303
Mailing address
355 FOX TRAIL DR, BATAVIA, IL 60510-8637
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
05/24/2015
Last updated
05/28/2015
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