Candice Grace Dubeau, | |
1312 Slater St, Sugar Grove, IL 60554-9823 | |
(928) 919-3139 | |
Not Available |
Full Name | Candice Grace Dubeau |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1312 Slater St, Sugar Grove, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528607066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
Entity Name | Innovative Counseling Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437563798 PECOS PAC ID: 0749605830 Enrollment ID: O20200806001773 |
Mailing Address | Practice Location Address |
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Candice Grace Dubeau, 1312 Slater St, Sugar Grove, IL 60554-9823 Ph: (928) 919-3139 | Candice Grace Dubeau, 1312 Slater St, Sugar Grove, IL 60554-9823 Ph: (928) 919-3139 |
Mrs. Tracy Kimie Nitta Takeda, MA , LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Division Dr Ste J, Sugar Grove, IL 60554 Phone: 630-884-1708 Fax: 630-277-8362 | |
Janet Jean Meeks, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 76 S Main St Ste B, Sugar Grove, IL 60554 Phone: 630-466-8657 | |
Amanda Raquel Martinez, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Ridgeview Ln, Sugar Grove, IL 60554 Phone: 331-278-8484 | |
Amy Heiman, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 330 Division Dr Ste J, Sugar Grove, IL 60554 Phone: 630-708-0317 Fax: 630-277-8362 |