Organization
ENERGETICS TRANSFORMATIVE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA KERNO LCPC (LCPC)
(815) 871-4299
Entity
Organization
Contact information
Practice address
9950 N ALPINE RD STE 103, MACHESNEY PARK, IL 61115-8362
(815) 871-4299
Mailing address
5556 STOCKTON DR, ROCKFORD, IL 61109-1795
(815) 871-4299
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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