| Montvale Counseling Center | |
|
3050 Montvale Dr Suite D Springfield IL 62704-4290 | |
| (217) 793-2770 | |
| Not Available |
| Full Name | Montvale Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3050 Montvale Dr, Springfield, Illinois |
| Authorized Official Name and Position | Karen Wagner (OFFICE MANAGER) |
| Authorized Official Contact | 2178363501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montvale Counseling Center 3050 Montvale Dr Suite D Springfield IL 62704-4290 Ph: (217) 793-2770 | Montvale Counseling Center 3050 Montvale Dr Suite D Springfield IL 62704-4290 Ph: (217) 793-2770 |
| NPI Number | 1225270614 |
|---|---|
| Provider Enumeration Date | 03/31/2009 |
| Last Update Date | 03/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225270614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180002534 (Illinois) | Primary |
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