Organization
LIVE LOVE AND GROWTH
Active
Other names
DNL Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIA LIEBERENZ LCPC (CLINICAL THERAPIST)
(331) 250-1586
Entity
Organization
Contact information
Practice address
1010 JORIE BLVD, SUITE 112, OAK BROOK, IL 60523-2215
(331) 250-1586
Mailing address
592 FRONT ST, LISLE, IL 60532-2205
(331) 250-1586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.009005
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
PRIVATE INSURANCE
IL
Enumeration date
09/10/2014
Last updated
09/10/2014
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