| Gottrich Counseling And Consulting Services Pc | |
|
975 S Durkin Dr Suite 202 Springfield IL 62704-1386 | |
| (217) 726-9882 | |
| (217) 726-9862 |
| Full Name | Gottrich Counseling And Consulting Services Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 975 S Durkin Dr, Springfield, Illinois |
| Authorized Official Name and Position | Kay A Gottrich (PRESIDENT/THERAPIST) |
| Authorized Official Contact | 2177269882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gottrich Counseling And Consulting Services Pc 975 S Durkin Dr Suite 202 Springfield IL 62704-1386 Ph: (217) 726-9882 | Gottrich Counseling And Consulting Services Pc 975 S Durkin Dr Suite 202 Springfield IL 62704-1386 Ph: (217) 726-9882 |
| NPI Number | 1508296559 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 11/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508296559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.004119 (Illinois) | Primary |
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