Individual
GENESIS RUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 PARK ST STE 200, NAPERVILLE, IL 60563-8404
(815) 764-4197
Mailing address
1755 PARK ST STE 200, NAPERVILLE, IL 60563-8404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.019100
IL
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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