| Hope Child And Family Counseling Inc | |
|
11447 2nd St Ste 9b Roscoe IL 61073-9522 | |
| (815) 601-4673 | |
| (866) 303-8062 |
| Full Name | Hope Child And Family Counseling Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11447 2nd St Ste 9b, Roscoe, Illinois |
| Authorized Official Name and Position | Jamie Renee Wagner (OWNER) |
| Authorized Official Contact | 8156014673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Child And Family Counseling Inc 11447 2nd St Ste 9b Roscoe IL 61073-9522 Ph: (815) 601-4673 | Hope Child And Family Counseling Inc 11447 2nd St Ste 9b Roscoe IL 61073-9522 Ph: (815) 601-4673 |
| NPI Number | 1942471529 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 09/24/2020 |
| Certification Date | 09/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942471529 | NPI | - | NPPES |
| 10132159 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180033993 (Illinois) | Primary |
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