Organization · Type 2 NPI
Nicole Larucci, Ltd
Mental Health Counselor · Lake In The Hills, IL
NPI number
1639688641
Active
Practice location
1301 Pyott Rd Ste 201E
Lake In The Hills, IL 60156-9797
Fax (224) 678-9652
Mailing address
208 S Emerald Dr
Mchenry, IL 60051-3309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180.008684 (IL) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1639688641
Nicole Larucci, Ltd's National Provider Identifier is 1639688641, issued on Sep 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake In The Hills, IL. The record was last updated on Apr 21, 2023.