| Autumn House Counseling Pllc | |
|
18300 S Halsted St Ste B #214 Glenwood IL 60425-1051 | |
| (773) 679-0986 | |
| Not Available |
| Full Name | Autumn House Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 18300 S Halsted St, Glenwood, Illinois |
| Authorized Official Name and Position | Sandra Rodriguez (OWNER, COUNSELOR) |
| Authorized Official Contact | 7736790986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn House Counseling Pllc 18300 S Halsted St Ste B #214 Glenwood IL 60425-1051 Ph: (773) 679-0986 | Autumn House Counseling Pllc 18300 S Halsted St Ste B #214 Glenwood IL 60425-1051 Ph: (773) 679-0986 |
| NPI Number | 1689337214 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 10/20/2021 |
| Certification Date | 10/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689337214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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