| Sacred Journey Wellness Llc | |
|
25 E Jackson St Oswego IL 60543-8696 | |
| (630) 815-6822 | |
| Not Available |
| Full Name | Sacred Journey Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 25 E Jackson St, Oswego, Illinois |
| Authorized Official Name and Position | Lisa Bertellotti (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 6308156822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Journey Wellness Llc 54 Monroe St Oswego IL 60543-7144 Ph: (630) 815-6822 | Sacred Journey Wellness Llc 25 E Jackson St Oswego IL 60543-8696 Ph: (630) 815-6822 |
| NPI Number | 1790353944 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790353944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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