C And H Counseling Solutions | |
800 Mchenry Ave Suite B Crystal Lake IL 60014-7487 | |
(815) 455-0590 | |
(815) 455-0592 |
Full Name | C And H Counseling Solutions |
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Speciality | Psychologist |
Location | 800 Mchenry Ave, Crystal Lake, Illinois |
Authorized Official Name and Position | Mary A Schuth (PRACTICE MANAGER) |
Authorized Official Contact | 8154550590 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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C And H Counseling Solutions 800 Mchenry Ave Suite B Crystal Lake IL 60014-7487 Ph: (815) 455-0590 | C And H Counseling Solutions 800 Mchenry Ave Suite B Crystal Lake IL 60014-7487 Ph: (815) 455-0590 |
NPI Number | 1316959711 |
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Provider Enumeration Date | 08/13/2006 |
Last Update Date | 09/22/2008 |
Medicare PECOS PAC ID | 0446296438 |
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Medicare Enrollment ID | O20050629001085 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316959711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 071004798 (Illinois) | Primary |
1041C0700X | Social Worker - Clinical | 149003539 (Illinois) | Secondary |
Provider Name | Susan J Coe |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134131550 PECOS PAC ID: 0840236683 Enrollment ID: I20050706000373 |
Provider Name | Timothy J Hayes |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1134131568 PECOS PAC ID: 2769428507 Enrollment ID: I20050706000422 |
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