| Shannon Pociecha Professional Corporation | |
|
1625 Bethany Rd Sycamore IL 60178-3124 | |
| (779) 777-7335 | |
| Not Available |
| Full Name | Shannon Pociecha Professional Corporation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1625 Bethany Rd, Sycamore, Illinois |
| Authorized Official Name and Position | Shannon Michele Pociecha (OWNER) |
| Authorized Official Contact | 8478048086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Pociecha Professional Corporation 455 Burr Oak Dr Oswego IL 60543-7503 Ph: (847) 804-8086 | Shannon Pociecha Professional Corporation 1625 Bethany Rd Sycamore IL 60178-3124 Ph: (779) 777-7335 |
| NPI Number | 1891370540 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891370540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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