| Frizzell Counseling Services Llc | |
|
310 E Howard St Pontiac IL 61764-2033 | |
| (815) 791-2295 | |
| Not Available |
| Full Name | Frizzell Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 310 E Howard St, Pontiac, Illinois |
| Authorized Official Name and Position | Ashley Nichole Frizzell (SOCIAL WORKER) |
| Authorized Official Contact | 8157912295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frizzell Counseling Services Llc 310 E Howard St Pontiac IL 61764-2033 Ph: (815) 791-2295 | Frizzell Counseling Services Llc 310 E Howard St Pontiac IL 61764-2033 Ph: (815) 791-2295 |
| NPI Number | 1164011391 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164011391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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