Individual
ADAM MARCHIORELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
380 HILKERT CT, CRYSTAL LAKE, IL 60014-5848
(815) 762-6347
Mailing address
380 HILKERT CT, CRYSTAL LAKE, IL 60014-5848
(815) 762-6347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821151119
—
IL
Enumeration date
06/22/2019
Last updated
02/06/2023
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