| Mindock Counseling And Consulting | |
|
3100 N Dries Ln Suite 302 Peoria IL 61604-1259 | |
| (309) 696-4697 | |
| (309) 681-0381 |
| Full Name | Mindock Counseling And Consulting |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3100 N Dries Ln, Peoria, Illinois |
| Authorized Official Name and Position | Sharon Fundell Mindock (DIRECTOR) |
| Authorized Official Contact | 3096964697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindock Counseling And Consulting 3100 N Dries Ln Suite 302 Peoria IL 61604-1259 Ph: (309) 696-4697 | Mindock Counseling And Consulting 3100 N Dries Ln Suite 302 Peoria IL 61604-1259 Ph: (309) 696-4697 |
| NPI Number | 1851554224 |
|---|---|
| Provider Enumeration Date | 07/07/2008 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851554224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180004578 (Illinois) | Primary |
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