| Olive Branch Counseling Pllc | |
|
128 Ellsworth St Crystal Lake IL 60014-4421 | |
| (815) 307-4849 | |
| Not Available |
| Full Name | Olive Branch Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 128 Ellsworth St, Crystal Lake, Illinois |
| Authorized Official Name and Position | Madysen Marie Ostrowski (OWNER/MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 8153074849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Counseling Pllc 128 Ellsworth St Crystal Lake IL 60014-4421 Ph: (815) 307-4849 | Olive Branch Counseling Pllc 128 Ellsworth St Crystal Lake IL 60014-4421 Ph: (815) 307-4849 |
| NPI Number | 1669142519 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669142519 | NPI | - | NPPES |
| 180010920 | Other | IL | LCPC/OWNER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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