Great Winds Counseling Pllc | |
2005 N Prospect Ave # 1167 Champaign IL 61822-1235 | |
(309) 220-8544 | |
Not Available |
Full Name | Great Winds Counseling Pllc |
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Speciality | Social Worker - Clinical |
Location | 2005 N Prospect Ave # 1167, Champaign, Illinois |
Authorized Official Name and Position | Thomas Nguyen (OWNER/THERAPIST) |
Authorized Official Contact | 3092208544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Great Winds Counseling Pllc 2005 N Prospect Ave # 1167 Champaign IL 61822-1235 Ph: () - | Great Winds Counseling Pllc 2005 N Prospect Ave # 1167 Champaign IL 61822-1235 Ph: (309) 220-8544 |
NPI Number | 1497523039 |
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Provider Enumeration Date | 12/13/2023 |
Last Update Date | 12/13/2023 |
Certification Date | 12/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497523039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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