Organization
GORENZ COUNSELING AND CONSULTING LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY JEAN GORENZ LCPC (VICE-PRESIDENT)
(815) 876-6285
Entity
Organization
Contact information
Practice address
1009 S MAIN ST, PRINCETON, IL 61356-2434
(815) 872-2273
(815) 875-1267
Mailing address
1009 S MAIN ST, PRINCETON, IL 61356-2434
(815) 872-2273
(815) 875-1267
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4271
IL
101YP2500X
Professional Counselor
Primary
180001089
IL
1041C0700X
Clinical Social Worker
149002582
IL
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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