Individual provider · Type 1 NPI

Rodrigo Manjarres, MA

Mental Health Counselor · Waukegan, IL

NPI number 1376563916 Active

Practice location

3012 Grand Ave
Waukegan, IL 60085-2321

Call (847) 546-0080 Map

Fax (847) 546-0083

Mailing address

135 N Greenleaf St, Suite 201
Gurnee, IL 60031-3393

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X5176 (IL)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376563916

Rodrigo Manjarres, MA's National Provider Identifier is 1376563916, issued on Jul 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waukegan, IL. The record was last updated on Jul 16, 2007.