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Search › Illinois › Counselor

Marissa Lodge

NPI 1467986331 · on the registry since 2017 · sole proprietor

Practice

Address
8616 Northern Ave
Rockford, IL 61107
Phone
(815) 332-8003
Organisation at this address
Rosecrance, Inc.
Rosecrance, Inc.
Janet Wattles Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Registry record

Primary taxonomy
Counselor
101Y00000X
Also registered as
Behavior Technician
Sex
Female
Record last updated
2018-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois