| Within Holistic Counseling | |
|
665 W Jackson St Ste 2 Woodstock IL 60098-3187 | |
| (865) 297-5077 | |
| Not Available |
| Full Name | Within Holistic Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 665 W Jackson St Ste 2, Woodstock, Illinois |
| Authorized Official Name and Position | Celeste Marie Ballard (OWNER) |
| Authorized Official Contact | 8659851084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Within Holistic Counseling 200 Midlake Dr Ste C Knoxville TN 37918-3089 Ph: (865) 985-1084 | Within Holistic Counseling 665 W Jackson St Ste 2 Woodstock IL 60098-3187 Ph: (865) 297-5077 |
| NPI Number | 1063798106 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 11/15/2021 |
| Certification Date | 11/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063798106 | NPI | - | NPPES |
| 1447549555 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCPC 180007509 (Illinois) | Primary |
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