Green Root Therapy | |
1323 Butterfield Rd Ste 114 Downers Grove IL 60515-5620 | |
(708) 778-3259 | |
Not Available |
Full Name | Green Root Therapy |
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Speciality | Counselor - Mental Health |
Location | 1323 Butterfield Rd Ste 114, Downers Grove, Illinois |
Authorized Official Name and Position | Kristina Lee Staack (PRESIDENT) |
Authorized Official Contact | 7087783259 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Green Root Therapy 1323 Butterfield Rd Ste 114 Downers Grove IL 60515-5620 Ph: (708) 778-3259 | Green Root Therapy 1323 Butterfield Rd Ste 114 Downers Grove IL 60515-5620 Ph: (708) 778-3259 |
NPI Number | 1760056659 |
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Provider Enumeration Date | 05/17/2021 |
Last Update Date | 01/07/2022 |
Certification Date | 01/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760056659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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