| Blueprint Agency Nfp | |
|
309 N Eastern Ave Joliet IL 60432-2303 | |
| (815) 782-2322 | |
| Not Available |
| Full Name | Blueprint Agency Nfp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 309 N Eastern Ave, Joliet, Illinois |
| Authorized Official Name and Position | Shayla Powell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8157822322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blueprint Agency Nfp 4222 Carrington Ln Plainfield IL 60586-7748 Ph: (630) 618-8668 | Blueprint Agency Nfp 309 N Eastern Ave Joliet IL 60432-2303 Ph: (815) 782-2322 |
| NPI Number | 1598433260 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Certification Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598433260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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