Organization
CENTER FOR PERSONAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ROETGERMAN (OWNER)
(419) 628-0124
Entity
Organization
Contact information
Practice address
1658 N MILWAUKEE AVE, #100-6986, CHICAGO, IL 60647-6905
(419) 628-0124
(419) 469-5553
Mailing address
96 W 4TH ST, MINSTER, OH 45865-1090
(419) 628-0124
(419) 469-5553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008510
IL
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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