George Roger Kulovitz
Counselor, Mental Health in Wheaton, IL. Individual provider (NPI-1).
NPI number1710696695
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1710696695
- Entity type
- Individual (NPI-1)
- Name
- George Roger Kulovitz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2022
- Certification date
- Nov 18, 2022
- Last updated
- Nov 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
115 N County Farm RdWheaton, IL 60187-3977
Phone 630-627-1700
Mailing address
111 N County Farm RdWheaton, IL 60187-3977
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 473 Mental Health Counselor providers in Wheaton · All 2,946 providers in Wheaton
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