| Still Tides Counseling Services, Ltd | |
|
3380 Lacrosse Ln Ste 106 Naperville IL 60564-8528 | |
| (630) 318-0040 | |
| Not Available |
| Full Name | Still Tides Counseling Services, Ltd |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3380 Lacrosse Ln Ste 106, Naperville, Illinois |
| Authorized Official Name and Position | Jessica Lyn Mueller (LCSW/PRESIDENT) |
| Authorized Official Contact | 6303180040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Still Tides Counseling Services, Ltd 2969 Jacob Ave Montgomery IL 60538-5122 Ph: (630) 303-6315 | Still Tides Counseling Services, Ltd 3380 Lacrosse Ln Ste 106 Naperville IL 60564-8528 Ph: (630) 318-0040 |
| NPI Number | 1972241065 |
|---|---|
| Provider Enumeration Date | 05/26/2022 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972241065 | NPI | - | NPPES |
| 149019603 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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