Options Eap | |
300 Backbone Road E Suite 3 Princeton IL 61356-2073 | |
(815) 879-0327 | |
(815) 875-1720 |
Full Name | Options Eap |
---|---|
Speciality | Social Worker - Clinical |
Location | 300 Backbone Road E, Princeton, Illinois |
Authorized Official Name and Position | Terryann Dumyahn (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8158790327 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Options Eap Po Box 116 Princeton IL 61356-0116 Ph: (815) 879-0327 | Options Eap 300 Backbone Road E Suite 3 Princeton IL 61356-2073 Ph: (815) 879-0327 |
NPI Number | 1073680765 |
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Provider Enumeration Date | 11/29/2006 |
Last Update Date | 02/25/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073680765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149006773 (Illinois) | Primary |
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