| Bridge Life Counseling, Pllc | |
|
1120 Fremont St Belvidere IL 61008-5315 | |
| (779) 537-8544 | |
| Not Available |
| Full Name | Bridge Life Counseling, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1120 Fremont St, Belvidere, Illinois |
| Authorized Official Name and Position | Teisha Marie Hoppe (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7795378544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Life Counseling, Pllc 1120 Fremont St Belvidere IL 61008-5315 Ph: (779) 537-8544 | Bridge Life Counseling, Pllc 1120 Fremont St Belvidere IL 61008-5315 Ph: (779) 537-8544 |
| NPI Number | 1285311720 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285311720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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