Organization
EVERGREEN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA KNOFF LMFT (PRACTICE MANAGER)
(213) 222-5079
Entity
Organization
Contact information
Practice address
2100 MANCHESTER RD STE 602, WHEATON, IL 60187-4587
(213) 222-5079
Mailing address
2100 MANCHESTER RD STE 602, WHEATON, IL 60187-4587
(630) 480-0060
(630) 981-2094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
166.001114
IL
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/06/2018
Last updated
05/02/2019
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