Individual
ESMERALDA ROXAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 E GRAND AVE, FOX LAKE, IL 60020-1557
(847) 462-6099
Mailing address
81 E GRAND AVE, FOX LAKE, IL 60020-1557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A54150006A
IL
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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