| Owl Street Therapy Pc | |
|
2213 Owl Dr Plainfield IL 60586-6575 | |
| (630) 300-4874 | |
| Not Available |
| Full Name | Owl Street Therapy Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2213 Owl Dr, Plainfield, Illinois |
| Authorized Official Name and Position | Kristina April Williams (OWNER/THERAPIST) |
| Authorized Official Contact | 6303004874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owl Street Therapy Pc 2213 Owl Dr Plainfield IL 60586-6575 Ph: (630) 300-4874 | Owl Street Therapy Pc 2213 Owl Dr Plainfield IL 60586-6575 Ph: (630) 300-4874 |
| NPI Number | 1164289310 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164289310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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