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Lake County Counseling Center

NPI Registration Record

Provider / OrganizationNPIDate Certified
LAKE COUNTY COUNSELING CENTER19721078372020-11-22
Entity TypeOrganization
Provider OrganizationLAKE COUNTY COUNSELING CENTER
Practice Office Address34121 N US HIGHWAY 45 STE 210
GRAYSLAKE, IL US
Practice Office Telephone2245449749
Mailing Address1758 N BALDWIN AVE
WAUKEGAN, IL 600858703 US
Business Telephone8475617068
Authorized OfficialMARITZA SOLIS, SENIOR THERAPIS
2245449749
Contact Endpoints
An online EHR system used for mental/behavioral health therapy []TheranestDirect
HPT Codes
CodeLicense NoState
1041C0700X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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