| Aspen Counseling Services, Ltd. | |
|
45 S Park Blvd Ste 370 Glen Ellyn IL 60137-6282 | |
| (708) 769-1509 | |
| Not Available |
| Full Name | Aspen Counseling Services, Ltd. |
|---|---|
| Speciality | Social Worker |
| Location | 45 S Park Blvd Ste 370, Glen Ellyn, Illinois |
| Authorized Official Name and Position | David W. Rennard (PRESIDENT) |
| Authorized Official Contact | 7087691509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Counseling Services, Ltd. 45 S Park Blvd Ste 370 Glen Ellyn IL 60137-6282 Ph: (708) 769-1509 | Aspen Counseling Services, Ltd. 45 S Park Blvd Ste 370 Glen Ellyn IL 60137-6282 Ph: (708) 769-1509 |
| NPI Number | 1568607018 |
|---|---|
| Provider Enumeration Date | 12/12/2008 |
| Last Update Date | 09/08/2022 |
| Certification Date | 09/08/2022 |
| Medicare PECOS PAC ID | 9830457555 |
|---|---|
| Medicare Enrollment ID | O20171229000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568607018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 180006436 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149009614 (Illinois) | Primary |
| Provider Name | David W Rennard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932119617 PECOS PAC ID: 6709773443 Enrollment ID: I20040228000040 |
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