Innovative Psychology Counseling Services, Inc. | |
4318 W Crystal Lake Rd Unit L Mchenry IL 60050-4210 | |
(847) 508-2016 | |
Not Available |
Full Name | Innovative Psychology Counseling Services, Inc. |
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Speciality | Counselor - Professional |
Location | 4318 W Crystal Lake Rd, Mchenry, Illinois |
Authorized Official Name and Position | Donald Malczynski (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8475082016 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovative Psychology Counseling Services, Inc. Po Box 541 Wonder Lake IL 60097-0541 Ph: () - | Innovative Psychology Counseling Services, Inc. 4318 W Crystal Lake Rd Unit L Mchenry IL 60050-4210 Ph: (847) 508-2016 |
NPI Number | 1013378108 |
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Provider Enumeration Date | 03/16/2016 |
Last Update Date | 03/16/2016 |
Identifier | Type | State | Issuer |
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1013378108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 180008289 (Illinois) | Primary |
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