Doctor Name: | MS. ROSHNI DAVE |
NPI Number: | 1508245176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 180.009554 |
Business Practice Address: | 10 Executive Ct Suite 5 South Barrington, IL - 600109550 |
Business Phone Number: | 2246552487 |
Business Fax Number: | |
Mailing Address: | 10 Executive Ct, Suite 5 SOUTH BARRINGTON |
State: | IL |
Postal Code: | 600109550 |
Phone Number: | 2246552487 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2015 |
NPI Last Update Date: | 05/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 180.009554 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |