| John Watson, | |
|
151 N Aspen Dr, Cortland, IL 60112-4100 | |
| (815) 748-8077 | |
| Not Available |
| Full Name | John Watson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 151 N Aspen Dr, Cortland, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952787137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Passion for Living Counseling Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457869679 PECOS PAC ID: 6800158833 Enrollment ID: O20180402001930 |
| Mailing Address | Practice Location Address |
|---|---|
| John Watson, 151 N Aspen Dr, Cortland, IL 60112-4100 Ph: (815) 748-8077 | John Watson, 151 N Aspen Dr, Cortland, IL 60112-4100 Ph: (815) 748-8077 |
Ladan Javadi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 N Strack St, 101, Cortland, IL 60112 Phone: 815-508-3947 |
Mrs. Monique Luisa Heilemeier, Counselor Medicare: Accepting Medicare Assignments Practice Location: 88 W Ellen Ave, Cortland, IL 60112 Phone: 815-748-3484 Fax: 815-758-8616 |