Individual
ELIZABETH THIELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31979 N FISH LAKE RD, ROUND LAKE, IL 60073-9517
(847) 546-6450
Mailing address
31979 N FISH LAKE RD, ROUND LAKE, IL 60073-9517
(847) 546-6450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178003548
IL
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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