| Natalee Mitrovich, Ma, Lcpc | |
|
109 S Main St Wauconda IL 60084-1825 | |
| (224) 818-4432 | |
| Not Available |
| Full Name | Natalee Mitrovich, Ma, Lcpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 109 S Main St, Wauconda, Illinois |
| Authorized Official Name and Position | Natalee Mitrovich (LICENSED CLINICAL PROFESSIONAL COUN) |
| Authorized Official Contact | 2248184432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Natalee Mitrovich, Ma, Lcpc 109 S Main St Wauconda IL 60084-1825 Ph: (224) 818-4432 | Natalee Mitrovich, Ma, Lcpc 109 S Main St Wauconda IL 60084-1825 Ph: (224) 818-4432 |
| NPI Number | 1376255893 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376255893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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