| Community Counseling And Wellness Services, Inc | |
|
525 E North St Suite B Bradley IL 60915-1185 | |
| (815) 933-0667 | |
| (815) 933-0665 |
| Full Name | Community Counseling And Wellness Services, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 525 E North St, Bradley, Illinois |
| Authorized Official Name and Position | Philip A Kirk (OWNER) |
| Authorized Official Contact | 8159330667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling And Wellness Services, Inc 525 E North St Suite B Bradley IL 60915-1185 Ph: (815) 933-0667 | Community Counseling And Wellness Services, Inc 525 E North St Suite B Bradley IL 60915-1185 Ph: (815) 933-0667 |
| NPI Number | 1427322213 |
|---|---|
| Provider Enumeration Date | 02/27/2012 |
| Last Update Date | 02/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427322213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180007481 (Illinois) | Primary |
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