Organization Name: | METROKA COUNSELING SERVICES, PC |
NPI Number: | 1366670150 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH B METROKA (PRESIDENT) |
Mailing Address: | 1301 Pyott Rd Suite 102 Lake In The Hills |
State: | IL US |
Postal Code: | 601569795 |
Phone Number: | 8476586684 |
Fax Number: | 8474582250 |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 12/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 060-010227 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |