Rock Rose Counseling, PLLC
Counselor, Professional in Swansea, IL. Organization (NPI-2).
NPI number1104674100
StatusActive
Last updated in NPPESMay 7, 2024
Details
- NPI
- 1104674100
- Entity type
- Organization (NPI-2)
- Legal business name
- Rock Rose Counseling, PLLC
- Organization subpart
- No
- Enumeration date
- May 7, 2024
- Certification date
- May 7, 2024
- Last updated
- May 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
4509 N Illinois St Ste 2Swansea, IL 62226-1524
Phone 618-207-1398
Mailing address
4509 N Illinois St Ste 2Swansea, IL 62226-1524
Authorized official
Christine Elaine Benton
Manager
6182071398
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