| Aspen Roots Therapeutic Services And Consulting Pllc | |
|
15105 S James St Ste 7 Plainfield IL 60544-2171 | |
| (779) 206-8540 | |
| Not Available |
| Full Name | Aspen Roots Therapeutic Services And Consulting Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15105 S James St Ste 7, Plainfield, Illinois |
| Authorized Official Name and Position | Christie Nicole Perretta (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7792068540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Roots Therapeutic Services And Consulting Pllc 513 Sean Dr Shorewood IL 60404-9765 Ph: (779) 206-8540 | Aspen Roots Therapeutic Services And Consulting Pllc 15105 S James St Ste 7 Plainfield IL 60544-2171 Ph: (779) 206-8540 |
| NPI Number | 1891532750 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891532750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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