True North Ptsd Center | |
201 W Springfield Ave 1006 Champaign IL 61820-6385 | |
(217) 402-4071 | |
(217) 531-4047 |
Full Name | True North Ptsd Center |
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Speciality | Counselor - Professional |
Location | 201 W Springfield Ave, Champaign, Illinois |
Authorized Official Name and Position | Daniel E Applegate (FOUNDER AND DIRECTOR) |
Authorized Official Contact | 2174024071 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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True North Ptsd Center 201 W Springfield Ave 1006 Champaign IL 61820-6385 Ph: (217) 402-4071 | True North Ptsd Center 201 W Springfield Ave 1006 Champaign IL 61820-6385 Ph: (217) 402-4071 |
NPI Number | 1023566486 |
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Provider Enumeration Date | 09/14/2016 |
Last Update Date | 09/14/2016 |
Identifier | Type | State | Issuer |
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1023566486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 1467870337 (Illinois) | Primary |
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