Organization
HOLISTIC REFINEMENT INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROUCHELLE MACON LCPC (MANAGER)
(708) 329-8871
Entity
Organization
Contact information
Practice address
19900 GOVERNORS DR STE 201, OLYMPIA FIELDS, IL 60461-1061
(708) 329-8871
Mailing address
19900 GOVERNORS DR STE 201, OLYMPIA FIELDS, IL 60461-1061
(708) 329-8871
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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