Travis Booth Lcpc, Inc. | |
1531 S Grove Ave Unit 204 Barrington IL 60010-5251 | |
(847) 381-2700 | |
(847) 381-2722 |
Full Name | Travis Booth Lcpc, Inc. |
---|---|
Speciality | Counselor - Professional |
Location | 1531 S Grove Ave Unit 204, Barrington, Illinois |
Authorized Official Name and Position | Travis Andrew Booth (PRESIDENT) |
Authorized Official Contact | 8473812700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Travis Booth Lcpc, Inc. 1531 S Grove Ave Unit 204 Barrington IL 60010-5251 Ph: (847) 381-2700 | Travis Booth Lcpc, Inc. 1531 S Grove Ave Unit 204 Barrington IL 60010-5251 Ph: (847) 381-2700 |
NPI Number | 1023460763 |
---|---|
Provider Enumeration Date | 07/06/2016 |
Last Update Date | 07/06/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023460763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 060.011815 (Illinois) | Primary |
News Archive
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