| Abundant Life Counseling And Wellness Group | |
|
905 Walton Rd Dixon IL 61021-8347 | |
| (815) 274-1293 | |
| Not Available |
| Full Name | Abundant Life Counseling And Wellness Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 905 Walton Rd, Dixon, Illinois |
| Authorized Official Name and Position | Kimberly S Devos (PRESIDENT) |
| Authorized Official Contact | 8152741283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Counseling And Wellness Group 905 Walton Rd Dixon IL 61021-8347 Ph: (815) 274-1293 | Abundant Life Counseling And Wellness Group 905 Walton Rd Dixon IL 61021-8347 Ph: (815) 274-1293 |
| NPI Number | 1194385401 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194385401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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