| Perryville Counseling Group Pllc | |
|
3019 N Perryville Rd Rockford IL 61114-8016 | |
| (815) 975-3330 | |
| (779) 423-1761 |
| Full Name | Perryville Counseling Group Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3019 N Perryville Rd, Rockford, Illinois |
| Authorized Official Name and Position | Martrice D Henderson-aldridge (OWNER) |
| Authorized Official Contact | 8159753330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perryville Counseling Group Pllc 3019 N Perryville Rd Rockford IL 61114-8016 Ph: (815) 975-3330 | Perryville Counseling Group Pllc 3019 N Perryville Rd Rockford IL 61114-8016 Ph: (815) 975-3330 |
| NPI Number | 1184450454 |
|---|---|
| Provider Enumeration Date | 09/12/2024 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184450454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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