| Woodson Counseling & Consulting Services, Ltd | |
|
404 W Boughton Rd Ste B Bolingbrook IL 60440-1898 | |
| (630) 685-4053 | |
| (630) 596-1478 |
| Full Name | Woodson Counseling & Consulting Services, Ltd |
|---|---|
| Speciality | Counselor - Professional |
| Location | 404 W Boughton Rd Ste B, Bolingbrook, Illinois |
| Authorized Official Name and Position | Joselyn Cecelia Woodson (OWNER AND PRESIDENT) |
| Authorized Official Contact | 6306854053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodson Counseling & Consulting Services, Ltd 404 W Boughton Rd Ste B Bolingbrook IL 60440-1898 Ph: (630) 685-4053 | Woodson Counseling & Consulting Services, Ltd 404 W Boughton Rd Ste B Bolingbrook IL 60440-1898 Ph: (630) 685-4053 |
| NPI Number | 1215385125 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 03/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215385125 | NPI | - | NPPES |
| 355461878001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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