| Fox Valley Counseling Center Pc | |
|
143 First St Ste 201 Batavia IL 60510-3102 | |
| (630) 399-2935 | |
| (630) 859-1800 |
| Full Name | Fox Valley Counseling Center Pc |
|---|---|
| Speciality | Social Worker |
| Location | 143 First St Ste 201, Batavia, Illinois |
| Authorized Official Name and Position | Mary Mcmillan (OWNER) |
| Authorized Official Contact | 6303992935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Counseling Center Pc Po Box 392 North Aurora IL 60542-0138 Ph: (630) 399-2935 | Fox Valley Counseling Center Pc 143 First St Ste 201 Batavia IL 60510-3102 Ph: (630) 399-2935 |
| NPI Number | 1114260114 |
|---|---|
| Provider Enumeration Date | 03/28/2013 |
| Last Update Date | 04/15/2014 |
| Medicare PECOS PAC ID | 3870733173 |
|---|---|
| Medicare Enrollment ID | O20130710000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114260114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149012301 (Illinois) | Primary |
| Provider Name | Mary B Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417091646 PECOS PAC ID: 7416053160 Enrollment ID: I20070426000419 |
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