| Confidential Crisis Consultation Inc | |
|
4722 147th St Suite 11 Midlothian IL 60445-2590 | |
| (708) 307-0922 | |
| (708) 933-0950 |
| Full Name | Confidential Crisis Consultation Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4722 147th St, Midlothian, Illinois |
| Authorized Official Name and Position | Mary Ellen Mcsherry (PRESIDENT/THERAPIST) |
| Authorized Official Contact | 7083076534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Confidential Crisis Consultation Inc 4722 147th St Suite 11 Midlothian IL 60445-2590 Ph: (708) 307-0922 | Confidential Crisis Consultation Inc 4722 147th St Suite 11 Midlothian IL 60445-2590 Ph: (708) 307-0922 |
| NPI Number | 1356587315 |
|---|---|
| Provider Enumeration Date | 12/22/2008 |
| Last Update Date | 12/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356587315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180004220 (Illinois) | Primary |
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