| Didier Counseling Llc | |
|
6735 Vistagreen Way Ste 210 Rockford IL 61107-5654 | |
| (402) 601-8821 | |
| Not Available |
| Full Name | Didier Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6735 Vistagreen Way Ste 210, Rockford, Illinois |
| Authorized Official Name and Position | Nicole Didier (COUNSELOR) |
| Authorized Official Contact | 4026018821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Didier Counseling Llc 6735 Vistagreen Way Ste 210 Rockford IL 61107-5654 Ph: (402) 601-8821 | Didier Counseling Llc 6735 Vistagreen Way Ste 210 Rockford IL 61107-5654 Ph: (402) 601-8821 |
| NPI Number | 1508505744 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 8527429976 |
|---|---|
| Medicare Enrollment ID | O20230801002497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508505744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nicole I Didier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316686918 PECOS PAC ID: 9436510880 Enrollment ID: I20230802001586 |
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