| Healing Oasis Counseling | |
|
1718 E Eagle St Kankakee IL 60901-5712 | |
| (505) 927-7480 | |
| Not Available |
| Full Name | Healing Oasis Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1718 E Eagle St, Kankakee, Illinois |
| Authorized Official Name and Position | Angelica Vazquez (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5059277480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Oasis Counseling 1718 E Eagle St Kankakee IL 60901-5712 Ph: (505) 927-7480 | Healing Oasis Counseling 1718 E Eagle St Kankakee IL 60901-5712 Ph: (505) 927-7480 |
| NPI Number | 1568180263 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568180263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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