Sanctuary Christian Counseling | |
16284 Prince Dr South Holland IL 60473-3233 | |
(312) 218-8483 | |
(708) 331-8670 |
Full Name | Sanctuary Christian Counseling |
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Speciality | Counselor - Professional |
Location | 16284 Prince Dr, South Holland, Illinois |
Authorized Official Name and Position | Byron Waller (CEO/ HEAD COUNSELOR) |
Authorized Official Contact | 3122188483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sanctuary Christian Counseling 25140 Spring St Manhattan IL 60442-1403 Ph: (312) 218-8483 | Sanctuary Christian Counseling 16284 Prince Dr South Holland IL 60473-3233 Ph: (312) 218-8483 |
NPI Number | 1376958074 |
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Provider Enumeration Date | 06/23/2014 |
Last Update Date | 06/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376958074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.005749 (Illinois) | Primary |
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