| Creating Change Counseling Center Llc | |
|
400 5th St Ste 197 Peru IL 61354-2876 | |
| (815) 617-9420 | |
| Not Available |
| Full Name | Creating Change Counseling Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 400 5th St Ste 197, Peru, Illinois |
| Authorized Official Name and Position | Christine Kohut (OWNER) |
| Authorized Official Contact | 8156179420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Change Counseling Center Llc 400 5th St Ste 197 Peru IL 61354-2876 Ph: (815) 617-9420 | Creating Change Counseling Center Llc 400 5th St Ste 197 Peru IL 61354-2876 Ph: (815) 617-9420 |
| NPI Number | 1407597743 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407597743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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