Organization
FOX RIVER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIANNE K KELLY LCSW (MANAGING MEMBER)
(847) 909-3764
Entity
Organization
Contact information
Practice address
150 HOUSTON ST, SUITE 300, BATAVIA, IL 60510-1953
(847) 909-3764
Mailing address
150 HOUSTON ST, SUITE 300, BATAVIA, IL 60510-1953
(847) 909-3764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.010534
IL
Other
Enumeration date
06/08/2012
Last updated
06/22/2012
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