| Coaching And Therapeutic Interaction | |
|
705 Warrenville Rd Wheaton IL 60187-6379 | |
| (630) 260-1166 | |
| (630) 344-1315 |
| Full Name | Coaching And Therapeutic Interaction |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 705 Warrenville Rd, Wheaton, Illinois |
| Authorized Official Name and Position | Phoebe Van Ham (THERAPIST) |
| Authorized Official Contact | 6302601166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coaching And Therapeutic Interaction 705 Warrenville Rd Wheaton IL 60187-6379 Ph: (630) 260-1166 | Coaching And Therapeutic Interaction 705 Warrenville Rd Wheaton IL 60187-6379 Ph: (630) 260-1166 |
| NPI Number | 1790909513 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790909513 | NPI | - | NPPES |
| 2233100 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149001872 (Illinois) | Primary |
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