| Goss Consulting Llc | |
|
1620 Koda Dr Marengo IL 60152-8608 | |
| (847) 401-9618 | |
| Not Available |
| Full Name | Goss Consulting Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1620 Koda Dr, Marengo, Illinois |
| Authorized Official Name and Position | Jennifer Goss (OWNER) |
| Authorized Official Contact | 8474019618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goss Consulting Llc 1620 Koda Dr Marengo IL 60152-8608 Ph: (847) 401-9618 | Goss Consulting Llc 1620 Koda Dr Marengo IL 60152-8608 Ph: (847) 401-9618 |
| NPI Number | 1306546684 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 12/31/2023 |
| Certification Date | 12/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306546684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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