| Your Story Counseling, P.c. | |
|
4745 Main St Suite 207 Lisle IL 60532-1754 | |
| (630) 442-1895 | |
| (630) 442-1896 |
| Full Name | Your Story Counseling, P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4745 Main St, Lisle, Illinois |
| Authorized Official Name and Position | Clark Q Beckley (PRESIDENT) |
| Authorized Official Contact | 6304421895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Story Counseling, P.c. 4745 Main Street Suite 207 Lisle ILLINOIS 60532 Ph: (630) 442-1895 | Your Story Counseling, P.c. 4745 Main St Suite 207 Lisle IL 60532-1754 Ph: (630) 442-1895 |
| NPI Number | 1306248497 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306248497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.016945 (Illinois) | Primary |
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