| Bluestem Counseling, Pllc | |
|
6085 Strathmoor Dr Ste 1c Rockford IL 61107-6636 | |
| (154) 350-9078 | |
| (815) 435-5251 |
| Full Name | Bluestem Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 6085 Strathmoor Dr Ste 1c, Rockford, Illinois |
| Authorized Official Name and Position | Matthew Kindler (OWNER) |
| Authorized Official Contact | 8154350907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluestem Counseling, Pllc 234 Vale Ave N Rockford IL 61107-4648 Ph: () - | Bluestem Counseling, Pllc 6085 Strathmoor Dr Ste 1c Rockford IL 61107-6636 Ph: (154) 350-9078 |
| NPI Number | 1982361333 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 06/01/2022 |
| Certification Date | 05/24/2022 |
| Medicare PECOS PAC ID | 8426433095 |
|---|---|
| Medicare Enrollment ID | O20220917000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982361333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Matthew E Kindler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275937203 PECOS PAC ID: 7911243365 Enrollment ID: I20190107002166 |
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