| C.r. Booker Mediation & Counseling Inc. | |
|
701 Devonshire Dr C-35 Champaign IL 61820-7337 | |
| (217) 552-4040 | |
| (217) 398-0413 |
| Full Name | C.r. Booker Mediation & Counseling Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 701 Devonshire Dr, Champaign, Illinois |
| Authorized Official Name and Position | Candyce Booker (OWNER/THERAPIST) |
| Authorized Official Contact | 2175524040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C.r. Booker Mediation & Counseling Inc. 606 Krebs Dr Champaign IL 61822-1105 Ph: (217) 552-4040 | C.r. Booker Mediation & Counseling Inc. 701 Devonshire Dr C-35 Champaign IL 61820-7337 Ph: (217) 552-4040 |
| NPI Number | 1073023776 |
|---|---|
| Provider Enumeration Date | 10/07/2017 |
| Last Update Date | 10/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073023776 | NPI | - | NPPES |
| 1295107787 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.017310 (Illinois) | Primary |
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