| Stillwater Center For Wellness Pc | |
|
435 W Washington St Springfield IL 62702-5006 | |
| (217) 303-5331 | |
| Not Available |
| Full Name | Stillwater Center For Wellness Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 435 W Washington St, Springfield, Illinois |
| Authorized Official Name and Position | David Vail (OWNER) |
| Authorized Official Contact | 2173035331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Center For Wellness Pc 701 S Durkin Dr Ste B Springfield IL 62704-6030 Ph: (217) 726-7575 | Stillwater Center For Wellness Pc 435 W Washington St Springfield IL 62702-5006 Ph: (217) 303-5331 |
| NPI Number | 1134787989 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 06/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134787989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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