| Guardian Family And Youth Counseling | |
|
1590 S Milwaukee Ave Ste 201 Libertyville IL 60048-3797 | |
| (847) 613-4626 | |
| Not Available |
| Full Name | Guardian Family And Youth Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1590 S Milwaukee Ave Ste 201, Libertyville, Illinois |
| Authorized Official Name and Position | Ryan Porter (THRAPIST) |
| Authorized Official Contact | 8476132462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Family And Youth Counseling 513 Deer Crossing Ct Hainesville IL 60030-3855 Ph: (847) 971-3579 | Guardian Family And Youth Counseling 1590 S Milwaukee Ave Ste 201 Libertyville IL 60048-3797 Ph: (847) 613-4626 |
| NPI Number | 1316717002 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316717002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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