| Denise Pedroza Sandoval Lcpc Llc | |
|
3245 Grove Ave Ste 103 Berwyn IL 60402-3475 | |
| (708) 955-1522 | |
| (708) 400-7939 |
| Full Name | Denise Pedroza Sandoval Lcpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3245 Grove Ave Ste 103, Berwyn, Illinois |
| Authorized Official Name and Position | Denise Sandoval (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 7089551522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Pedroza Sandoval Lcpc Llc 3245 Grove Ave Ste 103 Berwyn IL 60402-3475 Ph: (708) 955-1522 | Denise Pedroza Sandoval Lcpc Llc 3245 Grove Ave Ste 103 Berwyn IL 60402-3475 Ph: (708) 955-1522 |
| NPI Number | 1871143750 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 09/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871143750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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