| The Willows Counseling And Emdr Center, Llc | |
|
20 S Main St Ste 21 Janesville WI 53545-3959 | |
| (608) 851-0348 | |
| (815) 737-8115 |
| Full Name | The Willows Counseling And Emdr Center, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 20 S Main St Ste 21, Janesville, Wisconsin |
| Authorized Official Name and Position | Mary Collins (OWNER) |
| Authorized Official Contact | 6088510348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Willows Counseling And Emdr Center, Llc 20759 Burr Oak Rd Capron IL 61012-9616 Ph: (815) 482-2563 | The Willows Counseling And Emdr Center, Llc 20 S Main St Ste 21 Janesville WI 53545-3959 Ph: (608) 851-0348 |
| NPI Number | 1043830334 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043830334 | NPI | - | NPPES |
| 100078408 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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