Awareness, Inc. | |
110 Mooney Dr Suite 1 Bourbonnais IL 60914-2171 | |
(815) 370-2020 | |
(815) 937-6905 |
Full Name | Awareness, Inc. |
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Speciality | Counselor - Mental Health |
Location | 110 Mooney Dr, Bourbonnais, Illinois |
Authorized Official Name and Position | Celia Lyn Stoltz (PRESIDENT) |
Authorized Official Contact | 8153702020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Awareness, Inc. 110 Mooney Dr Suite 1 Bourbonnais IL 60914-2171 Ph: (815) 370-2020 | Awareness, Inc. 110 Mooney Dr Suite 1 Bourbonnais IL 60914-2171 Ph: (815) 370-2020 |
NPI Number | 1821255290 |
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Provider Enumeration Date | 05/21/2008 |
Last Update Date | 05/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821255290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180-002919 (Illinois) | Primary |
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