| At Home Counseling, Llc | |
|
417 W Water St Pontiac IL 61764-1750 | |
| (815) 842-1563 | |
| Not Available |
| Full Name | At Home Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 417 W Water St, Pontiac, Illinois |
| Authorized Official Name and Position | Judy Ripsch (SOLE OWNER) |
| Authorized Official Contact | 8158421563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| At Home Counseling, Llc 417 W Water St Pontiac IL 61764-1750 Ph: (815) 842-1563 | At Home Counseling, Llc 417 W Water St Pontiac IL 61764-1750 Ph: (815) 842-1563 |
| NPI Number | 1265609465 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265609465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149000420 (Illinois) | Primary |
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