| Kind Harbor Counseling, Pllc | |
|
701 Devonshire Dr Ste D-2b Champaign IL 61820-7337 | |
| (312) 854-9661 | |
| Not Available |
| Full Name | Kind Harbor Counseling, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 701 Devonshire Dr Ste D-2b, Champaign, Illinois |
| Authorized Official Name and Position | Rose St Clair (OWNER) |
| Authorized Official Contact | 3128549661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kind Harbor Counseling, Pllc 701 Devonshire Dr Ste D-2b Champaign IL 61820-7337 Ph: (312) 854-9661 | Kind Harbor Counseling, Pllc 701 Devonshire Dr Ste D-2b Champaign IL 61820-7337 Ph: (312) 854-9661 |
| NPI Number | 1740927003 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 09/15/2022 |
| Certification Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740927003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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