Bliss Practice Llc | |
16 N Riverside Ave Saint Charles IL 60174-1967 | |
(630) 377-7171 | |
(630) 584-8233 |
Full Name | Bliss Practice Llc |
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Speciality | Counselor - Professional |
Location | 16 N Riverside Ave, Saint Charles, Illinois |
Authorized Official Name and Position | Mari Wittum (PSYCHOTHERAPIST) |
Authorized Official Contact | 6303777171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bliss Practice Llc 16 N Riverside Ave Saint Charles IL 60174-1967 Ph: (630) 377-7171 | Bliss Practice Llc 16 N Riverside Ave Saint Charles IL 60174-1967 Ph: (630) 377-7171 |
NPI Number | 1093122426 |
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Provider Enumeration Date | 07/17/2014 |
Last Update Date | 07/17/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093122426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180005941 (Illinois) | Primary |
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