Dana Pauley Lcpc Llc | |
155 W Prairiefield Ave Cortland IL 60112-4142 | |
(630) 217-0442 | |
Not Available |
Full Name | Dana Pauley Lcpc Llc |
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Speciality | Counselor - Professional |
Location | 155 W Prairiefield Ave, Cortland, Illinois |
Authorized Official Name and Position | Dana Pauley (OWNER) |
Authorized Official Contact | 6302170442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dana Pauley Lcpc Llc 155 W Prairiefield Ave Cortland IL 60112-4142 Ph: (630) 217-0442 | Dana Pauley Lcpc Llc 155 W Prairiefield Ave Cortland IL 60112-4142 Ph: (630) 217-0442 |
NPI Number | 1114733490 |
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Provider Enumeration Date | 12/10/2024 |
Last Update Date | 12/10/2024 |
Certification Date | 12/10/2024 |
Identifier | Type | State | Issuer |
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1114733490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |