MEDICARE: BR COUNSELING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	180.010312	IL

General Provider Information

NPI Number	:	1720539323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BR COUNSELING INC

Provider Business Mailing Address
First Line	:	8344 ADBETH AVE
Second Line	:
City	:	WOODRIDGE
State	:	IL
Zip	:	60517-4556
Country	:	US
Telephone Number	:	630-709-8350
Fax Number	:	630-801-1675

Provider Business Practice Location Address
First Line	:	106 S LINCOLNWAY
Second Line	:	SUITE F
City	:	NORTH AURORA
State	:	IL
Zip	:	60542-1663
Country	:	US
Telephone Number	:	630-801-1669
Fax Number	:	630-801-1675

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. BRITTANY M ROBACK
Credential	:	LCPC, CADC
Telephone Number	:	630-709-8350

Provider Enumeration Date	:	10/18/2016
Last Update Date	:	10/18/2016

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Directions to “BR COUNSELING INC ” Practice Location

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