| Main Street Counseling Solutions Llc | |
|
36 Main St Ste 107 Park Ridge IL 60068-4059 | |
| (847) 529-9015 | |
| Not Available |
| Full Name | Main Street Counseling Solutions Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 36 Main St Ste 107, Park Ridge, Illinois |
| Authorized Official Name and Position | Lindsay Fleming (OWNER) |
| Authorized Official Contact | 8475299015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Counseling Solutions Llc 36 Main St Ste 107 Park Ridge IL 60068-4059 Ph: (847) 529-9015 | Main Street Counseling Solutions Llc 36 Main St Ste 107 Park Ridge IL 60068-4059 Ph: (847) 529-9015 |
| NPI Number | 1902411937 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902411937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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