| Cognitive Counseling Center | |
|
1820 Ridge Rd Suite 104 Homewood IL 60430-1760 | |
| (708) 647-7550 | |
| (708) 647-7564 |
| Full Name | Cognitive Counseling Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1820 Ridge Rd, Homewood, Illinois |
| Authorized Official Name and Position | Sabrina M Moore (DIRECTOR) |
| Authorized Official Contact | 7086477550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Counseling Center 1820 Ridge Rd Suite 104 Homewood IL 60430-1760 Ph: (708) 647-7550 | Cognitive Counseling Center 1820 Ridge Rd Suite 104 Homewood IL 60430-1760 Ph: (708) 647-7550 |
| NPI Number | 1881760353 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881760353 | NPI | - | NPPES |
| 09932047 | Other | IL | BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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