| Prairie River Counseling And Consulting, Llc | |
|
310 N Convent St Suite 3 Bourbonnais IL 60914-2099 | |
| (815) 304-4948 | |
| Not Available |
| Full Name | Prairie River Counseling And Consulting, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 310 N Convent St, Bourbonnais, Illinois |
| Authorized Official Name and Position | Mary Therese Boyle (MANAGER) |
| Authorized Official Contact | 8153044948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie River Counseling And Consulting, Llc 310 N Convent St Suite 3 Bourbonnais IL 60914-2099 Ph: (815) 304-4948 | Prairie River Counseling And Consulting, Llc 310 N Convent St Suite 3 Bourbonnais IL 60914-2099 Ph: (815) 304-4948 |
| NPI Number | 1982141032 |
|---|---|
| Provider Enumeration Date | 01/27/2017 |
| Last Update Date | 02/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982141032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149018807 (Illinois) | Primary |
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