Oak Vista Counseling Pllc | |
3526 N California Ave Ste 101 Peoria IL 61603-1143 | |
(773) 234-3574 | |
Not Available |
Full Name | Oak Vista Counseling Pllc |
---|---|
Speciality | Counselor - Professional |
Location | 3526 N California Ave Ste 101, Peoria, Illinois |
Authorized Official Name and Position | Robert H Beach (OWNER/MANAGER) |
Authorized Official Contact | 2178409864 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oak Vista Counseling Pllc 602 E High Point Rd Peoria IL 61614-2240 Ph: (217) 840-9864 | Oak Vista Counseling Pllc 3526 N California Ave Ste 101 Peoria IL 61603-1143 Ph: (773) 234-3574 |
NPI Number | 1942998695 |
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Provider Enumeration Date | 04/28/2023 |
Last Update Date | 04/28/2023 |
Certification Date | 04/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942998695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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