Organization
COLLABORATIVE ROOTS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KIENZLE MA, LCPC, NCC (OWNER/CLINICAL DIRECTOR)
(847) 920-8882
Entity
Organization
Contact information
Practice address
413 BEDFORD LN, VOLO, IL 60073-8182
(847) 504-9382
Mailing address
413 BEDFORD LN, VOLO, IL 60073-8182
(847) 504-9382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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