| Counseling And Consulting Services, P.c. | |
|
1035 Grove St Downers Grove IL 60515-4636 | |
| (630) 926-4873 | |
| (630) 852-6335 |
| Full Name | Counseling And Consulting Services, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1035 Grove St, Downers Grove, Illinois |
| Authorized Official Name and Position | Dale W Faber (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6309264873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Consulting Services, P.c. 1035 Grove St Downers Grove IL 60515-4636 Ph: (630) 926-7378 | Counseling And Consulting Services, P.c. 1035 Grove St Downers Grove IL 60515-4636 Ph: (630) 926-4873 |
| NPI Number | 1649573080 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 04/05/2019 |
| Medicare PECOS PAC ID | 5395928436 |
|---|---|
| Medicare Enrollment ID | O20110325000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649573080 | NPI | - | NPPES |
| 2223316 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dale W Faber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881718948 PECOS PAC ID: 3577750975 Enrollment ID: I20190508002513 |
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