| Dunham Counseling Center, Ltd. | |
|
451 Dunham Rd Suite 400 St Charles IL 60174-1431 | |
| (630) 444-1801 | |
| (630) 444-1802 |
| Full Name | Dunham Counseling Center, Ltd. |
|---|---|
| Speciality | Social Worker |
| Location | 451 Dunham Rd, St Charles, Illinois |
| Authorized Official Name and Position | Jeffrey Gerard Larson (PRESIDENT) |
| Authorized Official Contact | 6304441801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dunham Counseling Center, Ltd. 451 Dunham Rd Suite 400 St Charles IL 60174-1431 Ph: (630) 444-1801 | Dunham Counseling Center, Ltd. 451 Dunham Rd Suite 400 St Charles IL 60174-1431 Ph: (630) 444-1801 |
| NPI Number | 1235255993 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 10/23/2009 |
| Medicare PECOS PAC ID | 1456418219 |
|---|---|
| Medicare Enrollment ID | O20090323000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235255993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.012296 (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | 149.005583 (Illinois) | Secondary |
| Provider Name | Krista Lynn Sherinian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932250347 PECOS PAC ID: 7416963657 Enrollment ID: I20060227000130 |
| Provider Name | Erin J Cluts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104077189 PECOS PAC ID: 4183689318 Enrollment ID: I20090202000580 |
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