Organization
AUTUMN HOUSE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA RODRIGUEZ MA, LCPC (OWNER, COUNSELOR)
(773) 679-0986
Entity
Organization
Contact information
Practice address
18300 S HALSTED ST, STE B #214, GLENWOOD, IL 60425-1051
(773) 679-0986
Mailing address
18300 S HALSTED ST, STE B #214, GLENWOOD, IL 60425-1051
(773) 679-0986
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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