| Cottage Clinic Counseling, Inc. | |
|
115 Mooney Dr Bourbonnais IL 60914-2147 | |
| (815) 932-8443 | |
| (815) 936-1295 |
| Full Name | Cottage Clinic Counseling, Inc. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 115 Mooney Dr, Bourbonnais, Illinois |
| Authorized Official Name and Position | Sharon V. Digiacomo (LICENSED CLINICAL PSYCH.; PRESIDENT) |
| Authorized Official Contact | 8159328443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottage Clinic Counseling, Inc. 115 Mooney Dr Bourbonnais IL 60914-2147 Ph: (815) 932-8443 | Cottage Clinic Counseling, Inc. 115 Mooney Dr Bourbonnais IL 60914-2147 Ph: (815) 932-8443 |
| NPI Number | 1063604262 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063604262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (Illinois) | Primary |
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