| Blank Canvas Counseling Co | |
|
183 E Bethel Dr Bourbonnais IL 60914-1456 | |
| (815) 592-4791 | |
| Not Available |
| Full Name | Blank Canvas Counseling Co |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 183 E Bethel Dr, Bourbonnais, Illinois |
| Authorized Official Name and Position | Robert Kring (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 8155924791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blank Canvas Counseling Co Po Box 264 Aroma Park IL 60910-0264 Ph: () - | Blank Canvas Counseling Co 183 E Bethel Dr Bourbonnais IL 60914-1456 Ph: (815) 592-4791 |
| NPI Number | 1427553627 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 03/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427553627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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