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Organization

NOVUS COUNSELING COLLABORATIVE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANNA L RUSSO LCSW, CADC (COFOUNDER AND THERAPIST)
(224) 267-9777
Entity
Organization

Contact information

Practice address
1701 E LAKE AVE STE 270, GLENVIEW, IL 60025-2088
(224) 267-9777
Mailing address
1701 E LAKE AVE STE 270, GLENVIEW, IL 60025-2088
(224) 267-9777

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
04/07/2023
Last updated
04/07/2023
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