Renew Counseling Llc | |
210 W Sand Bank Rd Ste 5 Columbia IL 62236-1044 | |
(314) 477-1125 | |
Not Available |
Full Name | Renew Counseling Llc |
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Speciality | Social Worker - Clinical |
Location | 210 W Sand Bank Rd Ste 5, Columbia, Illinois |
Authorized Official Name and Position | Heidi B Donald (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 3144771125 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Renew Counseling Llc 632 Autumn Rise Ln Columbia IL 62236-2867 Ph: (314) 477-1125 | Renew Counseling Llc 210 W Sand Bank Rd Ste 5 Columbia IL 62236-1044 Ph: (314) 477-1125 |
NPI Number | 1982265690 |
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Provider Enumeration Date | 06/24/2019 |
Last Update Date | 06/24/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982265690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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