Inner Glow Counseling Pllc | |
220 Bradford Ln Ste C Waterloo IL 62298-3370 | |
(618) 520-4800 | |
Not Available |
Full Name | Inner Glow Counseling Pllc |
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Speciality | Counselor - Professional |
Location | 220 Bradford Ln Ste C, Waterloo, Illinois |
Authorized Official Name and Position | Kaitlyn Parkman (OWNER) |
Authorized Official Contact | 6185204800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Inner Glow Counseling Pllc 220 Bradford Ln Ste C Waterloo IL 62298-3370 Ph: () - | Inner Glow Counseling Pllc 220 Bradford Ln Ste C Waterloo IL 62298-3370 Ph: (618) 520-4800 |
NPI Number | 1043033590 |
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Provider Enumeration Date | 11/04/2024 |
Last Update Date | 11/04/2024 |
Certification Date | 11/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043033590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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