| The Rock Counseling Group | |
|
2309 Joseph St Champaign IL 61822-3636 | |
| (217) 722-9079 | |
| Not Available |
| Full Name | The Rock Counseling Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2309 Joseph St, Champaign, Illinois |
| Authorized Official Name and Position | Robert James Mcnicholl (VICE PRESIDENT) |
| Authorized Official Contact | 2177229079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Rock Counseling Group 2309 Joseph St Champaign IL 61822-3636 Ph: (217) 722-9079 | The Rock Counseling Group 2309 Joseph St Champaign IL 61822-3636 Ph: (217) 722-9079 |
| NPI Number | 1669774535 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 05/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669774535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1093948440 (Illinois) | Primary |
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