| Living Pono Counseling | |
|
1860 W Winchester Rd Ste 205 Libertyville IL 60048-5317 | |
| (847) 989-4708 | |
| Not Available |
| Full Name | Living Pono Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1860 W Winchester Rd Ste 205, Libertyville, Illinois |
| Authorized Official Name and Position | Cynthia Mcknight (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8479894708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Pono Counseling 21299 W Lakeview Pkwy Mundelein IL 60060-9604 Ph: (847) 989-4708 | Living Pono Counseling 1860 W Winchester Rd Ste 205 Libertyville IL 60048-5317 Ph: (847) 989-4708 |
| NPI Number | 1447778972 |
|---|---|
| Provider Enumeration Date | 09/05/2017 |
| Last Update Date | 01/31/2020 |
| Certification Date | 01/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447778972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180010886 (Illinois) | Primary |
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