Organization · Type 2 NPI
Profound Roots Therapy Services
Professional Counselor · West Dundee, IL
NPI number
1487348728
Active
Practice location
609 Lisa Road
West Dundee, IL 60118
Fax (847) 787-1746
Mailing address
244 S Randall Rd Ste 1134
Elgin, IL 60123-5529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1487348728
Profound Roots Therapy Services's National Provider Identifier is 1487348728, issued on Jun 8, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Dundee, IL. The record was last updated on Jun 8, 2023.